用腔内隔绝术治疗B型主动脉夹层动脉瘤46例Endovascular repair of type B aortic dissection: a report of 46 patients
荆全民,韩雅玲,王效增,栾波,邓捷,王祖禄,王冬梅,王守力,刘莹,李菲
摘要(Abstract)：
目的评价用主动脉夹层动脉瘤腔内隔绝术治疗StanfordB型主动脉夹层动脉瘤的近、中期临床疗效。方法2002年5月至2006年9月,行主动脉腔内隔绝术治疗B型主动脉夹层46例。其中男36例,女10例;年龄62±18岁。46例均经股动脉切开置入覆膜支架封堵胸主动脉破裂口,置入后造影检查证实疗效,术后随访1~52个月,平均17±16个月,分析其临床特点及疗效。结果住院期间及随访30d内无患者死亡;发生主动脉腔内隔绝术后综合征11例;2例患者左锁骨下动脉被封闭;5例发生内漏,术后3个月时其中4例内漏自行封闭。随访3个月时,所有患者内膜破裂口封闭,胸降主动脉和腹主动脉真腔扩大,假腔内血栓形成,支架位置、形态正常。术后半年1例发生截瘫,原因不明。术后1年1例出现迟发性内漏;1例升主动脉发现夹层,未行外科手术。随访期间3例死亡,4年生存率89.3%。结论用主动脉夹层动脉瘤腔内隔绝术治疗B型主动脉夹层动脉瘤的近、中期疗效满意。
关键词(KeyWords)： 主动脉瘤,胸;动脉瘤,夹层;支架
基金项目(Foundation):
作者(Author): 荆全民,韩雅玲,王效增,栾波,邓捷,王祖禄,王冬梅,王守力,刘莹,李菲
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