主动脉夹层外科手术中单分支术中支架血管与传统支架血管的应用比较  

Comparison of Single Branch Stent and Conventional Stent Vessels in Treatment Aortic Dissection Surgery

作　　者：邱峰[1] 王林南[1] 

机构地区：[1]吉林市中心医院心血管外科,吉林吉林132011

出　　处：《中国卫生标准管理》2016年第21期76-77,共2页China Health Standard Management

摘　　要：目的讨论在主动脉夹层外科手术中采用单分支术中支架血管于传统支架血管的应用效果。方法选取2011年3月~2015年8月我院收治的A型主动脉夹层患者65例为研究对象,把所有患者划分为A组14例和B组51例,A组患者给予分支术中支架人工血管进行治疗,B组给予传统术中支架血管进行手术。结果通过比较,两组患者的手术时间、心脏阻断时间、CPB时间、呼吸机时间等资料差异无统计学意义（P〉0.05）。A组有1例患者（7.8%）死亡,B组有4例患者（7.2%）死亡。两组患者病死率和并发症差异无统计学意义（P〉0.05）。结论采用单分支术支架人工血管可以降低主动脉夹层外科手术的难度,可以达到同传统血管相同的治疗效果。Objective To discuss the effect of stent-graft on traditional stent-grafting in single-branch surgery during aortic dissection.Methods65 patients with type A aortic dissection were treated in our hospital from March 2011 to August 2015. All patients were divided into group A（n=14） and group B（n=51）. Group A was given intraoperative stent graft for treatment. Group B was given traditional intraoperative stent grafting. Results There was no significant difference in operative time,cardiac block time,CPB time and ventilator time between the two groups （P〉0.05）. One patient（7.8%）died in group A and four patients died（7.2%）in group B. There was no statistically significant difference between the two groups in mortality and complications（P〉0.05）.Conclusion The use of single-branch stent graft can reduce the difficulty of aortic dissection surgery,can achieve the same treatment with traditional blood vessels.

关 键 词：主动脉夹层単分支手术 支架血管 传统支架血管 

分 类 号：R541[医药卫生—心血管疾病]