CAJ | 학술논문

目的总结应用覆膜支架腔内隔绝技术治疗胸主动脉夹层的经验.方法回顾性分析20例行覆膜支架腔内隔绝术治疗的胸主动脉夹层患者的临床资料,着重分析手术方法、手术结果、术后并发症和随访情况.结果 20例手术即刻成功率为100%(20/20),术后住院(5.0±1.3)d.术后并发症包括1例行升主动脉至头臂干及左颈总动脉旁路术加支架植入,术后发生脑梗死,5例fIJ现中度以上发热,1例出现肾功能衰竭,4例术后出现左侧胸痛,均经对症治疗后康复出院.随访CT检查1年～4年,未出现脊髓损伤、支架移位、锁骨下动脉窃血等,随访存活率为95%(19/20),1例术后半年支架末端与主动脉移行处的主动脉又出现动脉夹层,发生血管破裂死亡.结论覆膜支架腔内隔绝术是治疗Stanford B型和部分Stanford A型胸主动脉夹层的有效方法 .
목적 총결응용복막지가강내격절기술치료흉주동맥협층적경험.방법 회고성분석20례행복막지가강내격절술치료적흉주동맥협층환자적림상자료,착중분석수술방법 、수술결과 、술후병발증화수방정황.결과 20례수술즉각성공솔위100%(20/20),술후주원(5.0±1.3)d.술후병발증포괄1례행승주동맥지두비간급좌경총동맥방로술가지가식입,술후발생뇌경사,5례fIJ현중도이상발열,1례출현신공능쇠갈,4례술후출현좌측흉통,균경대증치료후강복출원.수방CT검사1년～4년,미출현척수손상、지가이위、쇄골하동맥절혈등,수방존활솔위95%(19/20),1례술후반년지가말단여주동맥이행처적주동맥우출현동맥협층,발생혈관파렬사망.결론 복막지가강내격절술시치료Stanford B형화부분Stanford A형흉주동맥협층적유효방법 .
Objectives To summarize the preliminary experience of endovascular stent-graft exclusion for aortic dissections. Methods We retrospectively analyzed the clinical data of 20 patiems with aortic dissections who underwent endovascular stent-graft exclusion, focused on the operation Methods , operation Results , complication and follow-up. Results The instant achievement ratio of the operation was 100% (20/20) and the postoperative stay time was (5.0±1.3) d. Complications after operation included 1 with cerebral infarction, 5 with midrange fever, 1 with renal failure and 4 with chest pain in left side. All of these patients were treated with symptomatic treatment and cured. After being followed up by CT for 1-4 years, no spinal cord ischemic injury, or stent displacement or subclavian steal syndrome happened in the 19 patients with the survival rate was 95% (19/20) , while, one patient died from vascular rupture due to new dissection near to the distal end of the stent. Conclusions Endovascular stent-graft exclusion is an effective procedure for patients with Stanford B type or some Stanford A tpye aortic dissection.