A型主动脉夹层手术的临床应用探讨  

Clinical application of type A aortic dissection

作　　者：李翔[1] 陈光[1] 赵文军[1] LI Xiang;CHEN Guang;ZHAO Wenjun(Department of Vascular Surgery,Taizhou Hospital in Zhejiang Province,Taizhou 317000,China)

机构地区：[1]浙江省台州医院血管外科,浙江台州317000

出　　处：《中国现代医生》2019年第10期22-25,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2016KYA192)

摘　　要：目的探讨Stanford B型夹层腔内血管修复术后逆行性A型主动脉夹层的手术治疗对促炎细胞因子表达水平的影响。方法选取2016年3月～2018年3月在我院接受治疗的Stanford B型主动脉夹层患者100例,将其随机分为对照组和研究组各50例,对照组采用常规方法进行治疗,研究组采用逆行性主动脉夹层的手术方法进行治疗,观察两种治疗方式对患者促炎细胞因子表达水平的影响。结果研究组的治疗效果优于对照组(P<0.05),研究组临床症状发生率低于对照组(P<0.05)。结论在对Stanford B型主动脉夹层患者进行治疗时,采用术后逆行性A型主动脉夹层的手术能够更有效地影响患者体内促炎细胞因子的表达水平,在临床上应当进一步推广应用。Objective To investigate the effect of surgical treatment of retrograde A-type aortic dissection after Stanford B-type interstitial vascular repair on the expression of proinflammatory cytokines.Methods One hundred patients with Stanford type B aortic dissection who were treated in our hospital from March 2016 to March 2018 were randomly divided into control group and study group,with 50 cases in each group.The control group was treated with conventional methods.The study group was treated with the surgical treatment of retrograde aortic dissection.And the effects of the two treatments on the expression of proinflammatory cytokines were observed.Results The therapeutic effect of the study group was better than that of the control group(P<0.05).The incidence rate of clinical symptoms in the study group was lower than that of the control group(P<0.05).Conclusion In the treatment of Stanford type B aortic dissection,the use of postoperative retrograde type A aortic dissection can more effectively affect the expression of pro-inflammatory cytokines in patients,and should be further promoted in clinical practice.

关 键 词：颅内血管修复 逆行性A型主动脉夹层 促炎细胞因子 腔内血管修复 

分 类 号：R654.3[医药卫生—外科学]