单中心Stanford B型主动脉夹层腔内修复术不同性别患者的临床疗效观察  

Comparison of clinical outcomes between different gender patients with Stanford type B aortic dissection treated with endovascular aortic repair at a single center

作　　者：刘艳杰[1] 王雅[1] 王效增[1] 周铁楠[1] 何瑞霞[1] 荆全民[1] LIU Yan-jie;WANG Ya;WANG Xiao-zeng;ZHOU Tie-nan;HE Rui-xia;JING Quan-min(Department of Cardiology,Institute of Cardiovascular Research,General Hospital of Shenyang Military Region,Shenyang 110016,China)

机构地区：[1]沈阳军区总医院心内科,沈阳110016

出　　处：《岭南心血管病杂志》2017年第6期700-703,747,共5页South China Journal of Cardiovascular Diseases

摘　　要：目的观察不同性别Stanford B型主动脉夹层患者行主动脉腔内修复术治疗的临床疗效。方法回顾性分析2002年4月至2013年2月于沈阳军区总医院心血管内科住院治疗并行主动脉腔内修复术治疗的Stanford B型主动脉夹层患者296例,分析不同性别患者临床特点及主动脉腔内修复术后围术期及3年随访的病死率、再次行腔内修复术等事件的发生率。结果 (1)两组临床资料比较:男性组吸烟史、饮酒史均高于女性组,差异均有统计学意义(P均<0.01);而后背痛、晕厥的发生率低于女性组,差异均有统计学意义(P均<0.05)。(2)围术期情况:两组植入支架的数目、长度、近远端直径比较,差异均无统计学意义(P均>0.05)。两组围术期死亡、术后发热、术后疼痛、合并经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗、住院时间等比较,差异均无统计学意义(P均>0.05)。(3)随访时间36个月,随访率为82.4%。随访期间两组病死率、再次行腔内修复术、新发冠状动脉粥样硬化性心脏病(冠心病)、脑血管病等比较,差异无统计学意义(P均>0.05)。结论不同性别Stanford B型主动脉夹层行主动脉腔内修复术治疗后临床疗效相近。Objectives To evaluate in-hospital and long-term effectiveness of endovascular aortic repair for Stanford type B aortic dissection between male and female.Method From April2002to February2013,a total of296patients with Stanford B aortic dissection treated with endovascular repair in General Hospital of Shenyang Military Region were included in this study.Clinical features,in-hospital and late outcomes in follow-up for3years in different genders were analyzed and compared.Results(1)There was no significant difference between male group and male group in clinical characteristics,excluding that percentages of patients with smoking and drinking were higher in male group,and percentages of patients with back pain,coma were lower in male group.(2)Perioperative condition:Number,length,proximal and distal diameter of stent implantation between the two groups had no significant different(P>0.05).Perioperative mortality,postoperative pyrexia,postoperative pain,complicating with percutaneous coronary intervention,hospital stay between the two groups had no significant different(P>0.05).(3)They were followed up for36months and follow-up rate was82.4%.During follow-up,compared with female group,complication of all-cause mortality,reintervention,new coronary disease,cerebrovascular diseases in male group had no significant difference in in-hospital and late term outcomes(P>0.05).Conclusions In our study,there were no significant different between male group and female group with Stanford type B aortic dissection treated with endovascular aortic repair in in-hospital and long-term outcomes.

关 键 词：主动脉夹层 性别 主动脉腔内修复术 

分 类 号：R543.16[医药卫生—心血管疾病]