带膜支架腔内隔绝术治疗Standford B型胸主动脉夹层
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郑翼德E-mail:zyd600@126.com

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Endovascular therapy for Stanford |type B aorta dissection
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    摘要:

    目的:探讨带膜支架腔内隔绝术治疗Standford B型胸主动脉夹层的方法、适用范围及疗效。
    方法:36例胸主动脉夹层患者,在全麻、数字减影血管造影术监控下,切开股动脉,将带膜支架置于胸主动脉内膜破口处,封闭破口。
    结果:所有患者原发胸主动脉夹层破口完全封闭,真腔血流恢复,原受损脏器功能恢复正常。术后3个月及12个月用CTA复查显示无内漏、移位等并发症,2例出现新破口,36例真腔均基本恢复正常管径,22例假腔消失,其余假腔有不同程度血栓形成、假腔缩小。
    结论:带膜支架腔内隔绝术治疗Standford B型胸主动脉夹层,具有技术可靠,安全性高,术后恢复快等优点,临床应用前景良好。

    Abstract:

    Objective:To evaluate the methods, applicability and results of cndovascular therapy for Stanford  type B aortic dissection.
    Methods:The clinical data of 36 cases of Stanford type B aortic dissection were analysed retrospectively. The stent-grafts were introduced via  femoral arteriotomy. Stent-grafts were implanted to blockade tears of aortic dissection under the guidance of DSA.
    Results:In all cases,the aortic dissection tears were blockaded, true lumens were opened,and organs function was restored.There were not complications such as internal hemorrhage due to trauma or stent displacement on CTA 3 and 12 months after endovascular therapywhile 2 cases developed new tears.The caliber of the 36 true lumens was restored to near normal. Twenty-two pseudocoeloms were obliterated,while the others were reduced is size and had varying degrees of thrombosis.
    Conclusions:Endovascular  thcrapy  is  safe  and  effectivc  for  the  patients  with Stanford  type B  aortic dissection. Its clinical application has a favorable outlook.

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方力| 郑翼德| 樊孝文| 余永忠| 全凌锋.带膜支架腔内隔绝术治疗Standford B型胸主动脉夹层[J].中国普通外科杂志,2010,19(6):609-611.
DOI:10.7659/j. issn.1005-6947.2010.06.004

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  • 收稿日期:2010-02-28
  • 最后修改日期:2010-05-08
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  • 在线发布日期: 2010-06-15