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目的 探讨腔内隔绝术治疗StanfordB型主动脉夹层的适应证选择、并发症防治及疗效。方法 分析 2 0 0 2 - 0 4～ 2 0 0 3- 0 4完成的 8例StanfordB型主动脉夹层的微创腔内隔绝术 (即经股动脉或髂动脉将支架 -人造血管复合移植物导入主动脉、封闭夹层裂口 )。移植物长度 97～ 99mm ,直径 34～ 4 2mm。结果 8例均获成功。术后无死亡、截瘫及心、肺、肾等严重并发症。平均随访 (9 5± 4 6 )个月全部存活 ,无迟发内漏。结论 腔内隔绝术治疗StanfordB型主动脉夹层安全、有效 ,可作为治疗本病的首选方法。
Objective To investigate the indications, complications prevention and curative effect of endovascular graft exclusion in the treatment of Stanford type B aortic dissection. Methods The minimally invasive endovascular graft exclusion of eight Stanford type B aortic dissections completed in 2000-2004-20000 3- 04 was performed (ie, a stent-graft combination graft was introduced via the femoral or iliac arteries Aorta, closed dissection rip). The graft length of 97 ~ 99mm, diameter 34 ~ 42mm. Results 8 cases were successful. No postoperative death, paraplegia and heart, lung, kidney and other serious complications. The average follow-up (95 ± 46) months all survived without delayed internal leakage. Conclusion Endovascular treatment of Stanford type B aortic dissection safe and effective, can be used as the preferred method of treatment of this disease.