主动脉夹层治疗51例临床分析  

Clinical analysis of51cases of aortic dissection

作　　者：杨茂平[1] 侯玉清[1] 冯金华[1] 

机构地区：[1]第一军医大学南方医院心内科,广东广州510515

出　　处：《第一军医大学学报》2003年第7期748-749,共2页Journal of First Military Medical University

摘　　要：目的评价不同治疗方法对主动脉夹层预后的影响。方法对51例主动脉夹层患者分别进行药物、手术及支架植入治疗,观察疗效并随访。结果药物治疗组成活26例(70.3%),死亡11例(29.7%);手术治疗组治愈4例(44.4%),死亡5例(55.6%);支架治疗组治愈4例,无效1例。结论对于A型夹层,手术优于药物治疗;支架治疗B型夹层治愈率高,创伤小,并发症少。Objective To evaluate the effects of different treatments on the prognosis of aortic dissection. Method Different treatment modalities including drug therapy, surgical resection and stent implantation were performed in 37, 9, and 5 cases of aortic dissection (AD) respectively, and the clinical outcome of the patients was observed during the follow-up study. Results The survival rate in drug therapy group was 70.3% (26) while death occurred in 11 cases (29.7%). Four (44.4%) of the nine cases were cured surgically, leaving a mortality of 55.6%. Stent implantation yielded cures in 4 cases, with death occurring in 1 case, and complications arose in none of the cases. Conclusion Surgical resection is superior to drug therapy in the treat-ment of type A AD cases, while stent implantation should be the first choice for type B AD cases for causing less complica-tions and injuries and resulting in high cure rate.

关 键 词：主动脉夹层 治疗 预后 临床分析 药物疗法 支架治疗 

分 类 号：R543.1[医药卫生—心血管疾病]