论文部分内容阅读
目的探讨主动脉夹层腔内修复术的疗效。方法2003年11月～2008年12月,行覆膜支架腔内修复治疗主动脉夹层32例。男31例,女1例;年龄15～73岁,平均(52.31±13.81)岁。Stanford B型32例。术后随访1～49个月,平均(12.92±9.82)个月,分析其临床特点及疗效。结果近端内漏1例,术后8个月复查内漏消失;术后30d内死亡1例,死于脑出血(3.1%)。其余病例恢复良好。结论覆膜支架腔内修复术是治疗主动脉夹层的有效方法,具有微创,失血量小,严重并发症少,住院时间短,术后恢复快等优点,但远期效果还有待进一步观察。
Objective To investigate the effect of endovascular repair of aortic dissection. Methods From November 2003 to December 2008, 32 cases of aortic dissection were treated with endovascular stent graft. There were 31 males and 1 females, aged from 15 to 73 years, with an average of (52.31 ± 13.81) years. Stanford type B in 32 cases. The patients were followed up for 1 to 49 months, with an average of (12.92 ± 9.82) months. The clinical features and therapeutic effects were analyzed. Results One case of proximal endoleak and 8 cases of postoperative endoleak disappeared. One case died within 30 days and died of cerebral hemorrhage (3.1%). The remaining cases recovered well. Conclusion Endovascular stent-graft repair is an effective method for the treatment of aortic dissection. It has the advantages of minimally invasive, less blood loss, less serious complications, shorter hospital stay and faster postoperative recovery, but the long-term effect remains to be further observed.