中华胸心血管外科杂志
中華胸心血管外科雜誌
중화흉심혈관외과잡지
Chinese Journal of Thoracic and Cardiovascular Surgery
2013年
12期
719-721
,共3页
冯永滔%范瑞新%郑少忆%马少鸿%范小平%于长江
馮永滔%範瑞新%鄭少憶%馬少鴻%範小平%于長江
풍영도%범서신%정소억%마소홍%범소평%우장강
主动脉%夹层动脉瘤%老年%心脏外科手术%主动脉置换
主動脈%夾層動脈瘤%老年%心髒外科手術%主動脈置換
주동맥%협층동맥류%노년%심장외과수술%주동맥치환
Aorta%Dissection,aneuysm%Older%Aorta replacement
目的 总结65岁以上主动脉夹层患者手术方式的选择及疗效.方法 2005年1月至2012年5月,70例65岁以上主动脉夹层患者接受手术治疗.男47例,年龄65 ~ 78岁,平均71岁;女23例,年龄65 ~ 72岁,平均68岁.急性发病期55例,慢性期15例.根据相应病情采取不同手术方式,并对术后患者进行门诊随访,了解术后病情变化及疗效.结果 住院死亡8例,余均痊愈出院.随访3~72个月.随访期内无死亡,无动脉瘤破裂等严重并发症.9例术后6个月行覆膜支架腔内置入术.结论 对于65岁以上主动脉夹层患者,选择确切、快捷的手术方式有助于减少术后并发症,提高患者的生存率及生活质量.
目的 總結65歲以上主動脈夾層患者手術方式的選擇及療效.方法 2005年1月至2012年5月,70例65歲以上主動脈夾層患者接受手術治療.男47例,年齡65 ~ 78歲,平均71歲;女23例,年齡65 ~ 72歲,平均68歲.急性髮病期55例,慢性期15例.根據相應病情採取不同手術方式,併對術後患者進行門診隨訪,瞭解術後病情變化及療效.結果 住院死亡8例,餘均痊愈齣院.隨訪3~72箇月.隨訪期內無死亡,無動脈瘤破裂等嚴重併髮癥.9例術後6箇月行覆膜支架腔內置入術.結論 對于65歲以上主動脈夾層患者,選擇確切、快捷的手術方式有助于減少術後併髮癥,提高患者的生存率及生活質量.
목적 총결65세이상주동맥협층환자수술방식적선택급료효.방법 2005년1월지2012년5월,70례65세이상주동맥협층환자접수수술치료.남47례,년령65 ~ 78세,평균71세;녀23례,년령65 ~ 72세,평균68세.급성발병기55례,만성기15례.근거상응병정채취불동수술방식,병대술후환자진행문진수방,료해술후병정변화급료효.결과 주원사망8례,여균전유출원.수방3~72개월.수방기내무사망,무동맥류파렬등엄중병발증.9례술후6개월행복막지가강내치입술.결론 대우65세이상주동맥협층환자,선택학절、쾌첩적수술방식유조우감소술후병발증,제고환자적생존솔급생활질량.
Objective To retrospectively analyze the surgical methods and efficacy in 70 cases of type A aortic dissection patients over 65 years old.Methods From January 2005 to May 2012,70 type A aortic dissection patients over 65 years old received surgical treatment.Among them,there were 47 males aged 65 to 78 years old with mean 71,23 females,aged 65 to 72 years old with mean 68.55 cases were acute onset,while 15 cases were chronically onset.Different surgical methods were selected depend on patients' situations.We followed up all patients after discharged from hospital to continue to observe their health situation and evaluate the therapeutic effects.Results After surgery,eight patients died in the hospital,62 patients were recovered and discharged from the hospital.The mortality rate is 11.4%.During the follow up period from 3 to 72 months,there were no dead,aneurysm rupture and others severe complications.9 cases received endovascular graft exclusion within 6 months after discharged from hospital.The survival patients were satisfactory healed with their daily living activity resumed.Conclusion For over 65 years old patients with aortic dissection,the accurate and rapid selection of surgical method could improve the survival rate and the quality of life with a lower occurrence rate of complications.