急性B型主动脉夹层106例腔内修复疗效观察

目的：对急性B型主动脉夹层106例腔内修复疗效进行观察。方法：抽取在2010年1月至2014年12月确诊为急性B型主动脉夹层并接受腔内修复治疗的患者106例，分成≤7天组、7—14天组和〉14天组，回顾性分析治疗效果。结果：术前三组患者最小真腔直径与最大假腔直径基本相同；术后3个月发现，≤7天组最大真腔直径与最大假腔直径比值较7—14天组和〉14天组大；7—14天组和〉14天组基本相同。≤7天组、7—14天组患者住院时间较〉14天组发生明显缩短。结论：对于急性B型主动脉夹层患者实施经皮主动脉腔内修复治疗的临床效果显著。

Objective ： acute type B aortic dissection 106 cases were observed efficacy of endovascular repair. Methods ： Extraction 2012 1 Month - December 2014 diagnosed with acute type B aortic dissection and received endovaseular repair of 106 patients divided into groups 47 days, 7 - 14 days and 〉 14 days group, review analysis of the therapeutic effect. Results ： There were three groups of patients with a maximum diameter of the smallest of the true lumen false lumen diameter substantially the same ; after three months found that the ratio of the maximum diameter and the diameter of the false lumen maximum true lumen 47 day group compared to 14 days and 〉 14 days large group ; 7 - 14 days and 〉 14 days is basically the same group. 47 day group, 7 to 14 days of hospital stay compared with patients 〉 14 days group had significantly shorter. Conclusion： For patients with acute type B aortic dissection implementation of clinical effect of percutaneous aortic endovascular repair is remarkable.