不同分期复杂型B型胸主动脉夹层腔内修复对主动脉重塑的影响及早中期生存分析  

Effect of endovascular repair on aortic remodeling and prometaphase survival in patients with complicated stanford b aortic dissection

作　　者：俞慎林[1] 张济[1] 李光泽[1] 林昌俭 YU Shenlin;ZHANG Ji;LI Guangze(Department of Pediatric Vascular Surgery,the People's Hospital Of LeshanSichuan,Leshan 614000,China)

机构地区：[1]四川省乐山市人民医院血管小儿外科,614000

出　　处：《临床外科杂志》2020年第6期527-529,共3页Journal of Clinical Surgery

摘　　要：目的探讨腔内修复对不同分期复杂型B型胸主动脉夹层(Stanford B)主动脉重塑及早中期生存率的影响。方法2012年1月~2016年1月我院确诊并行腔内修复治疗的Stanford B病人60例,按发病分期进行分组,亚急性组23例,慢性组37例。比较两组病人术中出血量、手术时间、住院时间、手术成功率,主动脉重塑指标,术后并发症发生率、总生存率。结果两组病人术中出血量、手术时间、住院时间、手术成功率及术后并发症率比较,差异无统计学意义(P>0.05)。亚急性组和慢性组主动脉重塑指标比较,差异有统计学意义(P<0.05)。亚急性组3年总体累积生存率高于慢性组,差异有统计学意义(P<0.05)。结论腔内修复手术可改善复杂型Stanford B病人主动脉重塑,亚急性期进行治疗总体疗效更佳。Objective To investigate the effect of endovascular repair on aortic remodeling and prometaphasesurvival in patients with complicated Stanford B aortic dissection.Methods 60 patients with Stanford B aortic dissection in our hospital from January 2012 to January 2016 were retrospectively analyzed.Then various indexes were compared between sub-acute group(n=23)and chronic group(n=37),including intraoperative bleeding volume,operation time,hospital stay length,and operation success rate,aortic remodeling indexes,postoperative complication rate,total survival rate.Results The intraoperative bleeding volume,operation time,hospital stay length,operation success rate and postoperative complications were not statistically significant(P>0.05).The Aortic remodeling index in the sub-acute group and the chronic group were not statistically significant(P<0.05).The 3-year cumulative survival rate of subacute group was higher than that of chronic group(P<0.05).Conclusion Endovascular repair can improve aortic remodeling in patients with complicated Stanford B,and the overall effect of subacute treatment is better.

关 键 词：B型胸主动脉夹层 腔内修复 主动脉重塑 早中期生存 

分 类 号：R654.3[医药卫生—外科学]