对比体外预开窗与原位开窗胸主动脉腔内修复术治疗主动脉疾病辐射剂量  

Comparison on radiation doses of in vitro pre-fenestration and in situ fenestration thoracic endovascular aortic repair in treatment of aortic disease

作　　者：薛芳 韩晓峰[2] 王刚[3] 邵磊[1] 刘光锐[2] 李铁铮[2] 郭曦[2] 邱威[2] 马晓海[2] XUE Fang;HAN Xiaofeng;WANG Gang;SHAO Lei;LIU Guangrui;LI Tiezheng;GUO Xi;QIU Wei;MA Xiaohai(Department of Interventional Center,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;Department of Diagnostic and Interventional Radiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Department of Ulcers and Peripheral Vascular Surgery,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心介入中心,天津300381 [2]首都医科大学附属北京安贞医院介入诊疗科,北京100029 [3]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心疮疡及周围血管外科,天津300381

出　　处：《中国介入影像与治疗学》2024年第9期553-556,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的对比体外预开窗与原位开窗胸主动脉腔内修复术(TEVAR)治疗主动脉疾病辐射剂量。方法回顾性分析51例接受体外预开窗(A组)及21例原位开窗(B组)TEVAR治疗的主动脉疾病患者,比较组间透视时间、总参考空气比释动能(AK)、总剂量面积乘积(DAP)及TEVAR治疗时间。结果对72例均顺利完成TEVAR。A组透视时间[(21.42±8.04)min vs.(34.57±9.07)min]及总DAP[44315.0(31157.0,56307.5)μGy·m^(2)vs.72153.0(45460.0,82354.0)μGy·m^(2)]均低于B组(P均<0.05),而总AK[2423(1638,3533)mGy vs.3600(1898,3921)mGy]及TEVAR用时[(83.41±22.89)min vs.(81.00±22.13)min]与B组差异均无统计学意义(P均>0.05)。结论相比原位开窗TEVAR,体外预开窗TEVAR治疗主动脉疾病所需透视时间及总DAP均显著降低。Objective To compare the radiation dose of in vitro pre-fenestration and in situ fenestration thoracic endovascular aortic repair(TEVAR)in treatment of aortic disease.Methods Data of 51 patients with aortic diseases who received in vitro pre-fenestration(group A)and 21 cases who underwent in situ fenestration(group B)TEVAR were retrospectively analyzed.The fluoroscopy duration,total reference air kerma(AK),total dose area product(DAP)and TEVAR time were compared between groups.Results TEVAR was successfully completed in all 72 patients.Fluoroscopy duration([21.42±8.04]min vs.[34.57±9.07]min)and total DAP(44315.0[31157.0,56307.5]μGy•m^(2)vs.72153.0[45460.0,82354.0]μGy•m^(2))in group A were both significantly lower than those in group B(both P<0.05),while total AK(2423[1638,3533]mGy vs.3600[1898,3921]mGy)and TEVAR time([83.41±22.89]min vs.[81.00±22.13]min)in group A were not significant different from those in group B(both P>0.05).Conclusion Compared with in situ fenestration TEVAR,both the fluoroscopy time and total DAP of in vitro prefenestration TEVAR significantly reduced for treating aortic diseases.

关 键 词：主动脉疾病 辐射剂量 体外预开窗技术 原位开窗技术 

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