CAJ | 학술논문

目的探讨动脉腔内隔绝术治疗DeBakeyⅢ型主动脉夹层的方法和疗效.方法对20例DeBakeyⅢ型主动脉夹层患者行动脉腔内隔绝术,其中7例为DeBakeyⅢa型,13例为DeBakeyⅢb型.影像学资料显示有5例在不同部位有2个以上撕裂口.术中7例带膜支架封闭左锁骨下动脉开口,另13例行左锁骨下动脉开口远端隔绝.结果全部病例经3～40个月随访,19例存活,1例18个月后因合并假腔支气管瘘大咯血死亡.结论血管腔内置入带膜支架型人工血管是治疗主动脉夹层的简便、安全、有效的方法.
목적 탐토동맥강내격절술치료DeBakeyⅢ형주동맥협층적방법화료효.방법 대20례DeBakeyⅢ형주동맥협층환자행동맥강내격절술,기중7례위DeBakeyⅢa형,13례위DeBakeyⅢb형.영상학자료현시유5례재불동부위유2개이상시렬구.술중7례대막지가봉폐좌쇄골하동맥개구,령13례행좌쇄골하동맥개구원단격절.결과 전부병례경3～40개월수방,19례존활,1례18개월후인합병가강지기관루대각혈사망.결론 혈관강내치입대막지가형인공혈관시치료주동맥협층적간편、안전、유효적방법.
Objective To study the technical skill and therapeutic effect of aortic isolation for treating DeBakey Ⅲ dissecting aneurysm.Methods Among 20 cases of DeBakey Ⅲ dissecting aneurysm,7 cases were with DeBakey Ⅲ a and 13 cases were with DeBakey Ⅲb.Imaging examinatin showed that among the 20 cases there were 5 cases with more than two tearings at difreret site.Covered stent was used to close left subclavian artery in 7 cases and distaI aortic isolation of left subclavian artery was conducted in other 13 cases.Restuls All cases were followed up for 3-40 months,finding that 19 cases survived but one case died because of pseudocoele bronchial fistula hemoptysis 18 months later.Conclusions Endovasular covered stent grafts is the simple,safe and effective way to treat dissecting aneurysm.