主动脉夹层合并截瘫诊断与治疗2例并文献复习

Diagnosis and treatment of aortic dissection combined with paraplegia:a report of two cases and literature review

目的探讨2例主动脉夹层合并截瘫患者的早期诊断与治疗方式以及对相关文献进行复习。方法分析2例主动脉夹层合并截瘫患者的临床资料,并对相关文献进行检索复习。结果通过CT血管成像和患者的临床表现,确诊为主动脉夹层合并截瘫。经过主动脉覆膜支架腔内修复术+脑脊液(cerebral spinal fluid,CSF)引流术+甲泼尼龙治疗后症状有所改善,院外随访,患者症状明显改善。结论主动脉夹层合并截瘫的患者使用主动脉覆膜支架腔内修复术+CSF引流术+甲泼尼龙治疗是可行的,增加患者截瘫症状的治愈率,为此类患者的治疗提供了临床治疗思路。

Objective To explore the early treatment and diagnosis modalities of 2 patients with aortic coarctation combined with paraplegia and to review the relevant literature.Methods The clinical data of two patients with aortic dissection combined with paraplegia were analyzed,and the relevant literature was reviewed.Results The diagnosis of aortic dissection combined with paraplegia was confirmed by CTA and the clinical presentation of the patients.Symptoms were improved after endoluminal repair with aortic coated stent,cerebrospinal fluid drainage,and methylprednisolone treatment.The patients were followed up outside the hospital,and their symptoms were improved significantly.Conclusion Aortic dissection combined with paraplegia can be treated with endoluminal repair of aortic coated stent,cerebrospinal fluid drainage and methylprednisolone,which increases the cure rate of paraplegia and provides clinical ideas for the treatment of this type of patients.