降主动脉腔内修复术后再次外科手术的临床分析  

Efficacy of surgical intervention in treatment of serious complications of EVAR

作　　者：何发明[1] 王平凡[1] 梁志强[1] 张力[1] 刘延华[1] 郑向阳[1] 宋鹏[1] 刘晨虎[1] 

机构地区：[1]河南省胸科医院心血管外科,郑州450003

出　　处：《医药论坛杂志》2016年第7期15-16,19,共3页Journal of Medical Forum

基　　金：河南省医学科技攻关重点项目(201502025)

摘　　要：目的评价外科干预降主动脉腔内修复术后出现的严重并发症的效果。方法回顾分析2009年7月至2015年6月12例降主动脉腔内修复术后出现严重并发症而采取外科手术治疗的患者的病例资料，总结并发症特点，评价外科术后的近、中期预后。结果12例患者有1例术后出现多脏器功能衰竭而死亡，其余11例恢复良好，随访6—36个月无新发主动脉夹层、瘤变等情况。结论降主动脉腔内修复术后出现逆行性A型夹层等严重并发症及早行外科手术治疗预后较好。Objective To evaluate the efficacy of surgical intervention the serious complications of endovascular aortic repair （EVAR） of the descending aortic aneurysm. Methods Retrospective analysis in July 2009 to June 2015, 12 ca- ses of descending aortic aneurysm severe postoperative complications of patients treated by surgery cases, summarized the characteristics of the complications, followed up the patients and recorded the imaging data. Results One died of mul- tiple organ failure in 12 patients, the other were discharged from the hospital. Followed up for 6 to 36 months without new aortic dissection, neoplasia, and so forth. Conclusion Surgical intervention can improve the prognosis of the pa- tients who emerged serious complications after EVAR.

关 键 词：腔内修复术 外科手术 严重并发症 

分 类 号：R654.2[医药卫生—外科学]