腔内隔绝术治疗主动脉夹层动脉瘤疗效分析

Analysis of the Effect of Exclusion in the Treatment of Aortic Dissecting Aneurysm

目的:探讨运用覆膜支架于腔内隔绝手术治疗主动脉夹层动脉瘤的疗效。方法:选择2006年1月至2011年1月期间52例主动脉夹层3B型患者,其中男性43例,女性9例,对他们的资料进行回顾性分析。术前采用CT血管成像、心脏超声等技术对主动脉夹层动脉瘤进行相关的评估。结果:50例成功施行了主动脉夹层动脉瘤腔内隔绝手术。手术后的造影证明了夹层裂口完全封闭以及内漏的现象显著减少。在术后回访1-24个月中,1例在1个月内发生死亡,术后1年后主动脉均没有发生病变。结论:运用覆膜支架于腔内隔绝手术治疗主动脉夹层动脉瘤的疗效比较好,具有安全、微创和高效的特点。术后死亡率低、并发症低,而且手术成功率比较高、生存比率也高。

Objective： To explore the technique and effects of endovascular stent-graft exclusion in the treatment of aortic dissection aneurysm. Method：Endovaseular graft exclusion was performed in 52 patients with aortic dissection aneurysm { 43 male and 9 female ） , Computed tomography angiography （ CTA } , tran-sthoracic echocardiography I TIE） and magnetic resonance angiography I MRA } were carried out as preop- erative evaluationl. The position and extent of the aortic dissection aneurysm were analyzed by angiography. Result： Endovascular graft exclusions were successfully angiography of the aorta showed that the intimal tear of performed in all 50 patients. After the operation, the aortic dissection aneurysm was either excluded completely, or had obvious reduction in the inner leak. The period of postoperative follow up ranged from 1 to 24 months. One patient died within I month after operation. Conclusion： Endovascular graft exclusion is a safe and effective way to treat aortic dissection aneurysm with a low mortality rate and incidence of compli- cations.