胸腹主动脉瘤修复术后脊髓缺血损伤的发生机制及其防治  

Risk factors and prevention strategies of spinal cord ischemic injury after thoracoabdominal aortic aneurysm repair

作　　者：王玉松 朱广浪 孙子洋 张雷 Wang Yusong;Zhu Guanglang;Sun Ziyang;Zhang Lei(School of Basic Medicine,Naval Medical University,Shanghai 200433,China;Department of Vascular Surgery,Changhai Hospital Affiliated to Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学基础医学院,上海200433 [2]海军军医大学附属长海医院血管外科,上海200433

出　　处：《中华胸心血管外科杂志》2020年第2期118-124,共7页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：胸腹主动脉瘤修复术因其高病死率和高并发症率,一直是心血管外科极具挑战的手术。目前临床上常用于治疗胸腹主动脉瘤的手术方式有传统开放手术、杂交手术、腔内修复术。术后主要的并发症脊髓缺血损伤可导致患者截瘫,严重影响患者远期生存率和生活质量。本文主要针对胸腹主动脉瘤修复术后脊髓缺血损伤的发病机制、危险因素、防治措施进行总结和思考。Thoracic and abdominal aortic aneurysm repair has always been a challenging procedure in cardiovascular surgery due to its high mortality and complication rate.At present,there are traditional open surgery,hybrid surgery and intracavitary repair for thoracic and abdominal aortic aneurysms.The main postoperative complication of spinal cord ischemia injury is paraplegia,which seriously affects the long-term survival rate and quality of life of patients.This paper summarized and considered the pathogenesis,risk factors and prevention measures of spinal cord ischemia injury after thoracic and abdominal aortic aneurysm repair.

关 键 词：心血管外科 胸腹主动脉瘤 杂交手术 腔内修复术 远期生存率 并发症率 传统开放手术 修复术后 

分 类 号：R654.3[医药卫生—外科学]