血管腔内隔绝术治疗Stanford B型胸主动脉夹层动脉瘤的疗效评价

Evaluate the Effect of Endovascular Stent-graft Exclusion Used in Type B Thoracic Aortic Dissection Aneurysm

目的对带膜支架血管腔内隔绝术治疗34例Stanford B型胸主动脉夹层动脉瘤疗效进行评价．方法对我院2002年至2005年34例Stanford B型胸主动脉夹层动脉瘤患者全麻下行腔内隔绝术的患者进行回顾性分析．结果34例患者均成功实行了带膜支架腔内隔绝术，1例因为导丝不能进入真腔而放弃腔内手术，未出现死亡现象，术后疼痛症状即刻得到改善，高血压在1周至半年左右均得到改善．术后随访3—29个月（平均15个月），其中25例行CT复查，9例行DSA复查，结论带膜支架血管腔内隔绝术治疗胸主动脉夹层安全、有效，远期疗效有待于进一步观察．

Objective To evaluate the effect of endovascular stent - graft exclusion used in of thoracic aortic dissection aneurysm. Methods by retrospectively study the clinical collections of 34 Stanford B aortic dissection cases which were treated by endovascular stent - graft exclusion in the condition of full anaesthesia from 2002 to 2005. Results 34 patients were successfully stened but one patient failed because the guide - wire could not get into the real vascular and no perioperative death. The range of postoperative follow - up was form 3 months to 29 months, the average of which was 15 months. 24 of the patients accepted a reexamination of CT, 9 of them were performed DSA at the same time. Conclusion Endovascular stent - graft exclusion is safe and efficient for Stanford B aortic dissection aneurysm. Further follow - up is necessary to evaluate its long - term effectives.