腔内治疗逆行撕裂Stanford A型主动脉夹层:Meta分析  

Meta-analysis of endovascular treatment of retrograde type A aortic dissection

作　　者：孙占国 韦晓雯[2] 周朋利[1] 马波[1] 张全会[1] 韩新巍[1] SUN Zhanguo;WEI Xiaowen;ZHOU Pengli;MA Bo;ZHANG Quanhui;HAN Xinwei(Department of Radiology Interventionthe First Affiliated Hospital of Zhengzhou University,Zhengzhou 450050,China;Department of Geriatric Endocrinology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450050,China)

机构地区：[1]郑州大学第一附属医院放射介入科,河南郑州450050 [2]郑州大学第一附属医院老年内分泌科,河南郑州450050

出　　处：《中国介入影像与治疗学》2020年第12期728-731,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的采用Meta分析评价腔内治疗逆行撕裂Stanford A型主动脉夹层(RAAD)的效果。方法检索万方数据库、中国知网及PubMed、Embase、Cochrane library数据库,获得有关腔内治疗RAAD的文献。依据纳入标准筛选文献,采用R软件对文献进行Meta分析,综合评价腔内治疗RAAD围手术期并发症、死亡率及预后。结果最终纳入11篇文献、共224例RAAD患者。Meta分析结果显示,腔内治疗RAAD围手术期内漏发生率10.22%[95%CI(0.02,0.18)],神经系统并发症发生率0.75%[95%CI(0.00,0.03)],围手术期死亡率1.22%[95%CI(0.00,0.03)]。随访期间6例死亡[0.60%,95%CI(0.00,0.03)],其中5例死因为非主动脉相关性;8例再次接受手术干预[0.89%,95%CI(0.00,0.03)]。结论腔内治疗RAAD安全、有效。Objective To explore the efficacy of endovascular treatment of retrograde type A aortic dissection(RAAD)with Meta-analysis.Methods Chinese database Wanfang and CNKI,English databases PubeMed,Embase and Cochrane library were comprehensively searched to obtain the research results on endovascular treatment of RAAD.Then the literature were screened according to inclusion and exclusion criteria.Meta-analysis was carried out with R software.The perioperative complications,mortality and prognosis of RAAD patients after endovascular treatment were evaluated.Results Totally 11 literature were enrolled,including 224 patients.The perioperative endoleak rate was 10.22%(95%CI[0.02,0.18]),the incidence of neurological complications was 0.75%(95%CI[0.00,0.03]),and the perioperative mortality was 1.22%(95%CI[0.00,0.03]).During the follow-up period,6 patients died(0.60%,95%CI[0.00,0.03]),among them 5 death were non-aortic related,while 8 patients underwent additional interventions(0.89%,95%CI[0.00,0.03]).Conclusion Endovascular treatment was safe and effective for RAAD.

关 键 词：主动脉 动脉瘤 夹层 介入治疗 综合分析 

分 类 号：R543.1[医药卫生—心血管疾病] R815[医药卫生—内科学]