全穿刺腔内隔绝术治疗B型主动脉疾病的临床效果分析  

Clinical effect analysis of totally punctured endovascular graft exclusion in treatment of type B aortic diseases

作　　者：林宇鹏[1] 徐名伟[1] 吴强[1] 王楚林[1] 徐衡[1] 李建彬[1] 洪晓华[2] 

机构地区：[1]揭阳市人民医院心血管内科,522000 [2]揭阳市人民医院介入手术室,522000

出　　处：《中国实用医药》2017年第35期33-34,共2页China Practical Medicine

摘　　要：目的分析全穿刺腔内隔绝术治疗B型主动脉疾病的临床效果。方法 55例行全穿刺腔内隔绝术治疗的B型主动脉疾病患者,术前均采用CT血管造影对病情进行评估,通过血管造影进行监测定位,将覆膜支架置入胸主动脉,隔绝病变的主动脉节段。对患者进行随访,观察患者的生存率与不良事件发生情况。结果所有患者手术均成功,1例患者出现肾功能不全,5例患者发生内漏,1例患者发生截瘫,13例患者发生腔内隔绝术后综合征。术后3个月内生存率为100.00%,术后1年生存率为98.18%,术后2年生存率为96.36%。结论在B型主动脉疾病的治疗中采用全穿刺腔内隔绝术,疗效确切,安全性较高,值得临床推广与应用。Objective To analyze the clinical effect of totally punctured endovascular graft exclusion in treatment of type B aortic diseases. Methods A total of 55 patients with type B aortic diseases were treated with totally punctured endovascular graft exclusion, and their condition were evaluated by CT angiography. The stent was implanted into the thoracic aorta to isolate the diseased segments of the aorta by angiography. The patients were followed up, and the survival rate and adverse events were observed. Results All patients were successfully operated, 1 patient with renal insufficiency, 5 patients with internal leakage, 1 patient with paraplegia, 13 patients with endovascular exclusion syndrome. The postoperative 3-month survival rate was 100.00%, the 1-year survival rate was 98.18%, and the postoperative 2-year survival rate was 96.36%. Conclusion Application of totally punctured endovascular graft exclusion in treating type B aortic diseases provides affirmative efficacy and higher safety. It is worthy of clinical promotion and application.

关 键 词：全穿刺腔内隔绝术 B型主动脉疾病 临床效果 

分 类 号：R543.1[医药卫生—心血管疾病]