论文部分内容阅读
目的评价腔内修复术治疗主动脉夹层的疗效,探讨主动脉夹层的治疗策略。方法回顾分析2002年3月-2010年6月,113例采用腔内修复术治疗的主动脉夹层患者的临床资料、治疗和随访结果。结果腔内修复术治疗主动脉夹层的手术成功率99.1%(112/113),围手术期无严重并发症发生,术后30 d病死率1.8%(2/113)。105例患者获术后随访,平均随访时间28个月,术后1、5年累计生存率分别为99.1%和97.1%。结论腔内修复术具有微创、安全、有效的优点,逐渐成为治疗Standford B型主动脉夹层的首选方法。Standford A型主动脉夹层的腔内修复术正处于探索阶段。
Objective To evaluate the effect of endovascular repair on aortic dissection and explore the treatment strategy of aortic dissection. Methods The clinical data, treatment and follow-up results of 113 patients with aortic dissection treated with endovascular repair from March 2002 to June 2010 were retrospectively analyzed. Results The success rate of endovascular repair in the treatment of aortic dissection was 99.1% (112/113). No serious complications occurred during the perioperative period. The mortality after 30 days was 1.8% (2/113). One hundred and five patients were followed up for a mean of 28 months. The cumulative survival rates at 1 and 5 years after surgery were 99.1% and 97.1%, respectively. Conclusion Endovascular repair has the advantages of minimally invasive, safe and effective, and gradually becomes the preferred method of treatment of Standford B type aortic dissection. Endovascular repair of Standford type A aortic dissection is in the exploratory stage.