早期主动脉内带膜支架植入治疗改善Ⅲ型主动脉夹层患者的近期预后

Recent Prognosis of Patients With Type Ⅲ Aortic Dissection Treated With Early Endovascular Stent Implantation

目的考察在Ⅲ型主动脉夹层(AD)急性期采用主动脉内带膜支架植入疗法能否降低患者病死率。方法研究对象为在我院确诊为Ⅲ型AD并接受住院治疗的50名患者,分为行主动脉内带膜支架植入的治疗组和标准治疗对照组,比较两组患者治疗后的近期生存率。结果 1个月后,治疗组患者生存率为100%,无1例死亡;对照组患者仅有14名患者生存(死亡率为41.67%),二者差异有统计学意义(P<0.05)。结论在Ⅲ型AD患者急性期行主动脉内带膜支架植入术治疗,能改善近期预后,对及时挽救患者生命具有深远意义。

Objective To evaluate whether intra-aortic stent implantation at the acute stage to treat the patients with De Bakey Ⅲ aortic dissecting（AD） could decrease the fatality rate. Methods 50 patients who were diagnosed as De Bakey Ⅲ AD in our hospital were divided into two groups： the treatment group was treated with intra-aortic stent implantation, and the control group was treated with standard therapy. To compare the recent survival rates in the two groups. Results One month later, the survival rate of the treatment group was 100%, with no death. However, there were only 14 alive patients in the control group（the death rate was 41.67%）. The difference was significant（P〈0. 05）, with statistical significance. Conclusion Implementation of the intra-aortic stent implantation at the acute stage, has far significance to save patients＇ lives, and could decrease the death rates of the patients with De Bakey Ⅲ AD.