论文部分内容阅读
目的:探讨主动脉覆膜支架治疗B型主动脉夹层的有效性和安全性。方法:收治Stanford B型主动脉夹层患者共18例行覆膜支架治疗,观察术中、术后及出院后1年内并发症情况,分析其临床特点、疗效及随访结果。结果:手术成功率100%,手术时间1～4 h,平均2.3 h,术中平均失血80 ml;2例患者植入了2枚覆膜支架,其余16例各植入1枚。15例患者术后住院期间出现发热,白细胞数增高,对症治疗后症状消失。术后平均住院时间12 d,1例术后3 d死亡。结论:覆膜支架治Stanford B型主动脉夹层具有创伤小、严重并发症少、住院时间较短的优势。
Objective: To investigate the efficacy and safety of aortic stent-graft in the treatment of type B aortic dissection. Methods: A total of 18 patients undergoing stent implantation of Stanford type B aortic dissection were enrolled in this study. The intraoperative, postoperative and postoperative complications were observed. The clinical features, efficacy and follow - up results were analyzed. Results: The success rate of operation was 100%, operation time was 1 ~ 4 h, average time was 2.3 h, mean blood loss was 80 ml during surgery; 2 patients were implanted with two covered stents and the remaining 16 patients were implanted with 1 each. 15 patients after hospitalization during fever, white blood cell count increased, symptoms disappeared after symptomatic treatment. The average postoperative hospital stay was 12 days and 1 case died after 3 days. Conclusion: Stent grafts with Stanford type B aortic dissection have the advantages of less trauma, fewer serious complications and shorter hospital stay.