去分支技术在累及弓部的主动脉夹层外科手术治疗中的应用效果

Application of De-branching Technique in aortic Dissection Surgery involving the Arch

目的分析去分支技术在累及弓部主动脉夹层患者手术治疗中的运用效果。方法选择南阳医专第一附属医院外科于2017年5月—2019年6月收治的78例累及弓部主动脉夹层患者为研究对象。以外科手术治疗方法为分组依据,分成行孙氏外科手术治疗的对照组(37例)和去分支外科手术治疗的实验组(41例)。对比两组手术状况、主动脉重塑及并发症发生状况、心功能变化。结果实验组手术状况优于对照组,差异具有统计学意义(P<0.05);实验组主动脉重塑率及并发症发生率均优于对照组,差异均具有统计学意义(P<0.05);实验组术后1周左室射血分数及左室舒张末期内径优于对照组,差异具有统计学意义(P<0.05)。结论去分支技术用于累及弓部的主动脉夹层手术治疗,可改善患者的心功能,促进主动脉重塑。

Objective To analyze the effect of de-branching technique in the surgical treatment of patients with aortic dissection involvement in the arch.Methods A total of 78 patients with AORTIC dissection involvement were admitted to the First Affiliated Hospital of Nanyang Medical College from May 2017 to June 2019.According to the method of surgical treatment,the patients were divided into the control group(37 cases)and the experimental group(41 cases).The operation status,aortic remodeling and complications,cardiac function were compared between the two groups.Results The operation condition of the experimental group was better than that of the control group(P<0.05),and the AORTIC remodeling rate and complication rate of the experimental group were better than those of the control group(P<0.05).The left ventricular ejection fraction(LVEF)and the left ventricular end-diastolic diameter in the experimental group were significantly higher than those in the control group(P<0.05).Conclusion Debranching technique can improve cardiac function and promote aortic remodeling in patients undergoing aortic dissection surgery involving the arch.