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|本期目录/Table of Contents|

主动脉支架植入术治疗胸主动脉疾病的效果

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2012年第5期
页码:
642-645
栏目:
临床研究
出版日期:
2012-10-25

文章信息/Info

Title:
Stent grafting for thoracic aortic diseases
作者:
丁国文; 陈锁成; 董长青; 施益军; 邵爱中
(江苏大学附属人民医院心胸外科， 江苏 镇江 212002)
Author(s):
DING Guo-wen;  CHEN Suo-cheng;  DONG Chang-qin;  SHI Yi-jun;  SHAO Ai-zhong
(Department of Cardiothoracic Surgery, Affiliated People’s Hospital of Jiangsu University, Zhenjiang, Jiangsu 212002, China)
关键词:
胸主动脉; 支架
Keywords:
thoracic aorta;  stent graft
分类号:
R543.1
DOI:
-
文献标识码:
A
摘要:
目的:探讨胸主动脉疾病支架植入术治疗的适应证和疗效。方法： 对79例胸主动脉疾病行主动脉支架植入的疗效进行回顾性分析。79例患者中，Stanford A型主动脉夹层动脉瘤18例，Stanford B型主动脉夹层动脉瘤49例；主动脉瘤5例；外伤性胸主动脉破裂7例。术前采用CT血管造影(CTA)或磁共振血管造影(MRA)对主动脉进行评估。18例Stanford A型主动脉夹层动脉瘤患者行术中支架置入，其余61例患者在数字减影血管造影(DSA)下经股动脉或髂动脉行支架腔内隔绝术。结果： 内漏8例（10%），4例于术后3月内自行闭合，1例再次腔内隔绝治疗，3例未进一步治疗；死亡8例（10%）均在术后1月内，其中3例死于神经系统并发症， 4例死于严重的合并症，1例死于主动脉瘤破裂。随访生存3年以上7例（9%），2年以上14例（18%），1年以上26例（33%），1年以内24例(30%)。结论： 主动脉支架植入术可减少手术风险，降低病死率，广泛适用于各种胸主动脉疾病。
Abstract:
AIM:To evaluate the operation indications and effectiveness of stent grafting for aortic diseases. METHODS: From November, 2007 to November, 2011, endovascular stent-graft exclusion for aortic diseases was preformed in 79 patients. Among them, 18 cases were Stanford A aortic dissection, 49 were Stanford B aortic dissection, 5 cases were aortic aneurysm, and 7 cases were traumatic thoracic aortic rupture. CTA or MRA were used as preoperative evaluation methods. 18 cases of Stanford A aortic dissection were treated with stent-graft during the operation, the rest of the patients were performed endovascular exclusion under DSA guidance. RESULTS: Eight patients (10%) were with endoleak among them, four were self-closed within 3 months, one was re-operated, the others did not accept further therapy. Eight cases (10%) died within one month after operation, three of which died of neurological complications, four died of severe complications, one died of aortic aneurysm rupture. Seven patients (9%) had survived more than 3 years, 14(18%) more than 2 years, 26 (33%) more than 1 year, and the remaining 24 (30%) patients less than one year. CONCLUSION: The indications of stent grafting for aortic diseases.are extensive, which can improves the treatment of thoracic aortic disease and reduces mortality.

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备注/Memo

备注/Memo:
收稿日期：2012-01-12.
作者简介：丁国文，副主任医师Email:dgw2006@hotmail.com
更新日期/Last Update: 2012-11-16