CAJ | 학술논문

目的研究杂交Debranching技术在创伤性主动脉弓破裂合并假性动脉瘤中的应用效果. 方法选择2011年6月—2013年6月收治的3例创伤性主动脉弓破裂合并假性主动脉瘤患者的临床资料,分析杂交Debranching技术在治疗创伤性主动脉弓破裂合并假性主动脉瘤患者的临床特点及治疗方式,术后1周,3,6,12个月及每年随访超声或CT血管成像(computed tomography angiography,CTA)明确治疗效果. 结果 3例患者均顺利完成手术,手术时间6.8～10.5 h,平均7.6h;术中失血量250～450 ml,平均310 ml;住院时间26～45 d,平均32 d.术后随访0.5～2年,随访期内无死亡,复查CTA或超声未见造影剂外溢. 结论杂交Debranching技术治疗创伤性主动脉弓破裂合并假性主动脉瘤患者可以明显减少手术创伤,手术效果满意,术后患者恢复良好.
목적 연구잡교Debranching기술재창상성주동맥궁파렬합병가성동맥류중적응용효과. 방법 선택2011년6월—2013년6월수치적3례창상성주동맥궁파렬합병가성주동맥류환자적림상자료,분석잡교Debranching기술재치료창상성주동맥궁파렬합병가성주동맥류환자적림상특점급치료방식,술후1주,3,6,12개월급매년수방초성혹CT혈관성상(computed tomography angiography,CTA)명학치료효과. 결과 3례환자균순리완성수술,수술시간6.8～10.5 h,평균7.6h;술중실혈량250～450 ml,평균310 ml;주원시간26～45 d,평균32 d.술후수방0.5～2년,수방기내무사망,복사CTA혹초성미견조영제외일. 결론 잡교Debranching기술치료창상성주동맥궁파렬합병가성주동맥류환자가이명현감소수술창상,수술효과만의,술후환자회복량호.
Objective To assess the effect of hybrid debranching technique in treatment of patients with traumatic aortic arch rupture combined with pseudoaneurysm.Methods Clinical data of 3 patients with traumatic aortic arch rupture combined with pseudoaneurysm repaired using debranching technique from June 2011 to June 2013 were analyzed to determine their clinical features and treatment options.Hypersound or computed tomography angiography (CTA) was performed to confirm the therapeutic effects at postoperative 1 week,3,6,and 12 months as well as annually thereafter.Results All patients underwent operation uneventfully.Operation time was 6.8-10.5 hours (mean,7.6 hours) and intraoperative blood loss was 250-450 ml (mean,310 ml).Length of stay was 26-45 days (mean,32 days).There were no deaths at the 0.5-2 years of follow-up.Hypersound or CTA revealed no leakage of contrast medium after operation.Conclusion Hybrid debranching technique greatly reduces surgical trauma and provides satisfactory outcome and good function recovery.