秦威,杨侃,韩冬,范迪堃,崔杰

• 1:新乡医学院
• 2:南阳市中心医院心脏大血管外科

摘要(Abstract)：

目的 探讨胸主动脉腔内修复术（TEVAR）联合裸金属支架（BMS）置入治疗Stanford B型主动脉夹层（TBAD）患者与单纯TEVAR治疗相比，术后6个月临床预后及安全性方面的差异。方法 回顾性收集2023年3月至2024年3月南阳市中心医院收治的诊断为TBAD并行TEVAR治疗或TEVAR联合BMS置入治疗患者的临床和影像学资料，按照治疗方式不同分为TEVAR组和TEVAR+BMS组。比较两组患者出院时及术后6个月的主动脉重塑指标及术后并发症发生情况。结果 共纳入37例患者，其中TEVAR组20例，TEVAR+BMS组17例。TEVAR组和TEVAR+BMS组在基线资料方面比较，差异均无统计学意义（均P>0.05）；在出院时及术后6个月腹主动脉（腹腔干近端水平、左肾动脉近端水平）的真腔直径和真腔比率方面TEVAR+BMS组优于TEVAR组，差异均有统计学意义（均P<0.05）；术后6个月假腔血栓化程度方面TEVAR+BMS组优于TEVAR组，差异有统计学意义（P<0.05）；在术后并发症方面两组比较，差异无统计学意义（P>0.05）。结论 TEVAR联合BMS置入治疗可显著改善TBAD患者的主动脉重塑效果，且未增加术后并发症及主动脉相关的死亡风险。BMS置入术作为血管腔内修复治疗的辅助治疗手段，是一种安全且有效的优化治疗方案。

关键词(KeyWords)： 裸金属支架;Stanford B型主动脉夹层;胸主动脉腔内修复术;主动脉重塑

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 秦威,杨侃,韩冬,范迪堃,崔杰

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