CAJ | 학술논문

目的：评价介入疗法在治疗胸主动脉夹层瘤的临床疗效．方法通过对2008年11月至2010年3月收治的24例罹患胸主动脉夹层瘤患者进行随访分析，建立数据信息，包括术后临床症状缓解情况、术后ICU滞留时间、术后住院时间、术后胸主动脉瘤再发率、术后复查支架位置和形态，夹层假腔直径及血栓形成情况以及支架塌陷等并发症，行胸主动脉夹层瘤介入治疗后对患者重要脏器（如心、脑、肾）的影响情况等信息进行随访分析评价．结果24例行介入术后患者全部存活，疼痛症状即刻得到改变，术后平均住院日7.3 d，影像学复查无支架移位、血栓形成等并发症，无传统手术造成心、脑、肾等并发症，3 a存活率95.8%．结论介入疗法对治疗胸主动脉夹层瘤患者效果佳、安全．
목적：평개개입요법재치료흉주동맥협층류적림상료효．방법통과대2008년11월지2010년3월수치적24례리환흉주동맥협층류환자진행수방분석，건립수거신식，포괄술후림상증상완해정황、술후ICU체류시간、술후주원시간、술후흉주동맥류재발솔、술후복사지가위치화형태，협층가강직경급혈전형성정황이급지가탑함등병발증，행흉주동맥협층류개입치료후대환자중요장기（여심、뇌、신）적영향정황등신식진행수방분석평개．결과24례행개입술후환자전부존활，동통증상즉각득도개변，술후평균주원일7.3 d，영상학복사무지가이위、혈전형성등병발증，무전통수술조성심、뇌、신등병발증，3 a존활솔95.8%．결론개입요법대치료흉주동맥협층류환자효과가、안전．
Objective To evaluate the clinical effectiveness of interventional therapy in treating thoracic aortic dissection (TAD) . Methods A follow-up visit with 24 TAD patients had been operated in our hospital from November 2008 to March 2010. The clinical data, the therapeutic measures and the follow-up results were retrospectively analyzed. Including the remission of symptom, average day in hospital,complication,the long term survival rates and so on. Results All 24 patients have survived, the symptoms have improved instantly, the hospitalization days was 7.3 days,and no complication occurred. The 3 years survival rate was 95.8%. Conclusion Interventional therapy have advantages of treating thoracic aortic dissection with less complication,more secure and higher long term survival rates.