摘要
目的:探讨血管腔内隔绝术治疗降主动脉夹层动脉瘤的技术方法和疗效。方法:对10例降主动脉夹层动脉瘤患者的临床资料进行分析,其中2例为DeBakeyШa型,8例为DeBakeyШb型。1例夹层动脉瘤仅累及腹主动脉,合并真性动脉瘤。影像学资料显示全组有3例在不同部位有2个以上撕裂口。结果:1例腹主动脉混合型动脉瘤按腹主动脉瘤腔内隔绝术进行,2例将人工带膜支架封闭左锁骨下动脉口,另7例均顺利进行主动脉腔内隔绝术。随访2~16个月,全部病例均存活。结论:血管腔内置入带膜支架型人工血管是治疗主动脉夹层动脉瘤的简便、安全、有效的方法。
Objective:To study the technique and therapeutic effect of endovascular stent- graft exclusion for the treatment of descending aortic dissection. Methods: The clinical data of 10 patients with descending aortic dissection were retrospectively analyzed. DeBakey type Ⅲ a dissection was found in 2 patients, and DeBakey type Ⅲ b dissection in 8 patients. Only abdominal aorta was involved in one patient with real dissecting aneurysm. Three patients have two or more tear entries in different sites according to imaging. Results: The operation was conducted according to the procedure of endovascular stent - graft exclusion in one patient with abdominal aortic mixed aneurysm. The entrance of left subclavian artery was excluded with polyester - covered stent in 2 patients. The endovascular stent - graft exclusion was successfully performed in the rest 7 patients. During the follow - up period of 2 to 16 months, all patients survived well. Conclusion : Endovascular stent - graft exclusion is simple, safe and effective for the treatment of descending aortic dissection.
出处
《西北国防医学杂志》
CAS
2007年第3期186-188,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
动脉瘤
夹层
支架
人工血管
腔内隔绝术
Aneurysm
Dissecting
Stent
Blood vessel prosthesis
Endovascular exclusion