徐争鸣,陈宇,曹毅,刘英明,裘毅刚,王志超,赵力,郑建勇,李田昌

• 1:解放军总医院第六医学中心心内科

摘要(Abstract)：

目的探讨胸主动脉腔内修复术(TEVAR)后持续疼痛对B型主动脉夹层患者中长期预后的影响。方法回顾性分析2012年1月至2016年12月解放军总医院第六医学中心连续收治并进行TEVAR的B型主动脉夹层患者的临床资料32例,并进行随访。按照术后是否出现疼痛分为疼痛组和非疼痛组。结果 30例患者完成了平均5.25年随访,疼痛组13例,非疼痛组17例。两组患者的性别、年龄、合并疾病、住院天数、住院费用及发病至手术间隔时间比较,差异均无统计学意义(均P>0.05)。疼痛组手术所用时间短于非疼痛组[(83.46±10.37)min比(92.59±9.36)min,P=0.017],支架平均直径大于非疼痛组[(37.62±3.93)mm比(33.35±2.50)mm,P=0.001],差异均有统计学意义。疼痛组患者支架平均长度虽较非疼痛组偏长,但差异无统计学意义[(183.38±31.25)mm比(172.00±28.10)mm,P=0.304]。疼痛组死亡1例,再发夹层1例;非疼痛组死亡2例,再发夹层1例,再次介入治疗1例。疼痛组与非疼痛组患者复合终点事件发生率比较,差异无统计学意义[2(2/13)比4(4/17),P=0.655]。结论尚无法得出TEVAR术后持续疼痛对B型主动脉夹层长期预后是否产生不利影响。

关键词(KeyWords)： 疼痛;B型主动脉夹层;胸主动脉腔内修复术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 徐争鸣,陈宇,曹毅,刘英明,裘毅刚,王志超,赵力,郑建勇,李田昌

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