单中心654例非复杂B型夹层腔内修复术远期疗效分析  

14 years follow-up results of 654 cases of uncomplicated type B dissection in single center

作　　者：高慧强[1] 任长伟[1] 阳晟[1] 金秀峰[1] 周坤[1] 刘朝亮[1] 刘东侠 孙立忠[1] 黄连军[1] 许尚栋[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心脏外科5病房,100029

出　　处：《心肺血管病杂志》2017年第5期373-376,381,共5页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:研究胸主动脉腔内修复术(TEVAR)在非复杂B型夹层患者中应用的中远期效果。方法:搜集我中心自2001年5月至2012年12月行TEVAR术治疗的的非复杂型B型夹层患者基本信息及手术情况并对其进行随访,将所得数据进行分析。结果:共有654例非复杂型B型夹层患者在我院接受TEVAR治疗,围术期死亡5例,病死率0.8%,2例发生完全性瘫痪(0.3%)。患者术后5年、10年、14年生存率分别为96.6%,84.3%,67.8%。避免二次手术的比率5年、10年分别为94.6%、89.5%。结论:TEVAR手术在非复杂B型夹层患者中应用得到了较低的病死率、并发症率与较好的远期生存率。Objective：To study the mid-term and long-term effect of TEVAR for patients with uncom- plicated type B dissection. Methods ： Medical and followed-up data of uncomplicated type B dissection patients treated by TEVAR from May 2001 to December 2012 in our center were collected and analyzed. Results： A to- tal of 654 uncomplicated type B dissection patients received TEVAR treatments. 5 patients （0. 8% ） died during perioperative period, 2 patients （0. 3% ） suffered paraplegia. The 5-year, lO-year and 14-year survival rates after TEVAR were 96. 6%, 84. 3% and 67. 8%, respectively. The rate of avoiding secondary treatment in 5 years and 10 years were 94. 6% and 89. 5% respectively, Conclusion：The use of TEVAR for patients with uncomplicated type B dissection resulted in relatively lower mortality, lower incidence of complications and bet- ter mid-term and long-term survival.

关 键 词：非复杂B型夹层 胸主动脉腔内修复术 生存率 

分 类 号：R54[医药卫生—心血管疾病]