CAJ | 학술논문

目的探讨成人型复杂主动脉缩窄的外科治疗方法及临床效果.方法回顾性分析2005年12月至2012年7月间经非体外循环下行升主动脉-腹主动脉搭桥手术治疗的6例成人型复杂主动脉缩窄患者的临床资料.结果本组无围术期死亡病例,术后患者症状明显好转,下肢血压升高,上下肢收缩压差＜10 mm Hg(1 mm Hg=0.133 kPa),出院随访5～9个月,6例患者血压均恢复正常,复查CT血管造影显示人工血管血流通畅,未出现主动脉再狭窄、假性动脉瘤等并发症.结论非体外循环下经正中胸腹联合切口升主动脉-腹主动脉搭桥手术治疗成人型复杂主动脉缩窄疗效确切,手术操作虽略显复杂,但安全度较高,适于临床选择应用.
목적 탐토성인형복잡주동맥축착적외과치료방법급림상효과.방법 회고성분석2005년12월지2012년7월간경비체외순배하행승주동맥-복주동맥탑교수술치료적6례성인형복잡주동맥축착환자적림상자료.결과 본조무위술기사망병례,술후환자증상명현호전,하지혈압승고,상하지수축압차＜10 mm Hg(1 mm Hg=0.133 kPa),출원수방5～9개월,6례환자혈압균회복정상,복사CT혈관조영현시인공혈관혈류통창,미출현주동맥재협착、가성동맥류등병발증.결론 비체외순배하경정중흉복연합절구승주동맥-복주동맥탑교수술치료성인형복잡주동맥축착료효학절,수술조작수략현복잡,단안전도교고,괄우림상선택응용.
Objective To investigate the therapeutic methods and clinical effect of adult complex aortic coarctation.Methods The clinical data of 6 patients with adult complex aortic coarctation treated by off-pump descending ascendens aorta-aorta abdominalis bypass surgery between December 2005 and July 2012 were retrospectively analyzed.Results There was no death case during the perioperative period in this study; patients showed a substantial improvement in symptoms after the surgery,blood pressure of the lower limbs were elevated,systolic blood pressure difference between the limbs was ＜ 10 mm Hg(1 mm Hg =0.133 kPa).From 5 to 9 months follow-up visit after the 6 patients left hospital,the blood pressure of them was resumed normal.Their angiography by CT showed that,the blood flow in artificial blood vessel of the patients was unobstructed,there was no aorta restenosis or false aneurysm complication.Conclusions The curative effect of off-pump descending ascendens aorta-aorta abdominalis bypass surgery on adult complex aortic coarctation is significant; also the operation technique is a little complex,but it has a high degree of safety and is suitable for clinical application.