国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
12期
824-826,封3
,共4页
任昊%慈红波%方青波%管圣%赛力木%戈小虎
任昊%慈紅波%方青波%管聖%賽力木%戈小虎
임호%자홍파%방청파%관골%새력목%과소호
主动脉%夹层%远端破口%临床分型%血管造影术
主動脈%夾層%遠耑破口%臨床分型%血管造影術
주동맥%협층%원단파구%림상분형%혈관조영술
Aorta%Dissection%Distal crevasses%Clinical classification%Angiography
目的 探讨Stanford B型主动脉夹层远端破口的分布特点及其临床分型方法.方法 对新疆维吾尔自治区人民医院2010年1月-2013年6月收治的Stanford B型主动脉夹层患者的计算机断层血管造影资料进行回顾分析,观察其远端破口的分布位置并统计远端破口的数量,进而总结远端破口的分布特点并进一步提出远端破口的临床分型方法.结果 共查阅115例Stanford B型主动脉夹层患者的计算机断层血管造影资料,其中有101例合并有远端破口(87.83％),共计有240个远端破口,平均2.37个/例.结论 Stanford B型主动脉夹层远端破口好发于累及内脏动脉区域,提出Stanford B型主动脉夹层远端破口的分型方法,即:Ⅰ型:内脏动脉以上破口;Ⅱ型:累及内脏动脉的破口;Ⅲ型:肾下腹主动脉破口;Ⅳ型:髂动脉破口.
目的 探討Stanford B型主動脈夾層遠耑破口的分佈特點及其臨床分型方法.方法 對新疆維吾爾自治區人民醫院2010年1月-2013年6月收治的Stanford B型主動脈夾層患者的計算機斷層血管造影資料進行迴顧分析,觀察其遠耑破口的分佈位置併統計遠耑破口的數量,進而總結遠耑破口的分佈特點併進一步提齣遠耑破口的臨床分型方法.結果 共查閱115例Stanford B型主動脈夾層患者的計算機斷層血管造影資料,其中有101例閤併有遠耑破口(87.83％),共計有240箇遠耑破口,平均2.37箇/例.結論 Stanford B型主動脈夾層遠耑破口好髮于纍及內髒動脈區域,提齣Stanford B型主動脈夾層遠耑破口的分型方法,即:Ⅰ型:內髒動脈以上破口;Ⅱ型:纍及內髒動脈的破口;Ⅲ型:腎下腹主動脈破口;Ⅳ型:髂動脈破口.
목적 탐토Stanford B형주동맥협층원단파구적분포특점급기림상분형방법.방법 대신강유오이자치구인민의원2010년1월-2013년6월수치적Stanford B형주동맥협층환자적계산궤단층혈관조영자료진행회고분석,관찰기원단파구적분포위치병통계원단파구적수량,진이총결원단파구적분포특점병진일보제출원단파구적림상분형방법.결과 공사열115례Stanford B형주동맥협층환자적계산궤단층혈관조영자료,기중유101례합병유원단파구(87.83％),공계유240개원단파구,평균2.37개/례.결론 Stanford B형주동맥협층원단파구호발우루급내장동맥구역,제출Stanford B형주동맥협층원단파구적분형방법,즉:Ⅰ형:내장동맥이상파구;Ⅱ형:루급내장동맥적파구;Ⅲ형:신하복주동맥파구;Ⅳ형:가동맥파구.
Objective To explore the distribution characteristics and clinical typing methods in distal crevasses of Stanford B aortic dissection.Methods Review of the cases in the People's Hospital of Xinjiang Urgur Autonomous Region from 2010 January to 2013 June were diagnosis of Stanford type B aortic dissection with computed tomographic angiography data,Observed its distal crevasses distribution and statistical its number,then summarizes the distribution characteristics of the distal crevasses and further put forward a method of clinical typing.Results Refer to 115 cases with Stanford type B aortic dissection computed tomographic angiography data,including 101 cases with distal crevasses (87.83％) and a total of 240 distal crevasses,an average of 2.37 per case.Conclusions The distal crevasses more often appear in the area involving visceral artery,combined with its different in distribution characteristics and processing methods,we put forward the classification method,namely:Type Ⅰ:the distal crevasses are located in the zone of the thoracic artery; Type Ⅱ:the distal crevasses are close to the visceral artery or involvement it; Type Ⅲ:the distal crevasses are lower than the renal artery,not involving the visceral artery; Type Ⅳ:the distal crevasses are located in the zone of the iliac artery.
