摘要
目的探讨带膜支架植入治疗降主动脉夹层动脉瘤的经验。方法我科1999年5月至2005年12月为15例DeBakeyⅢ型的主动脉夹层动脉瘤患者作血管腔内带膜支架植入治疗,并分析其临床资料。结果15例病人共用带膜支架22个,手术技术成功率100%。6例患者术中出现内漏,植入第二枚支架后漏口封闭。1例术后3月复查发现支架移位,再植入带膜支架后治愈。3例术后死亡,死因为心律失常,呼吸功能衰竭。治愈12例,平均随访20个月,所有患者内膜破裂口全部完全封闭,假腔内血栓形成无内漏,假腔均明显缩小。结论带膜支架血管腔植入术治疗主动脉夹层动脉瘤具有良好的近期疗效,长期效果还有待进一步的研究。
Objective To investigate the experience of endovascular stent-graft treatment for the thoracic aortic dissecting aneurysm. Methods From May 1999 to December 2005, 15 cases with DeBakey Ⅲ type dissecting aneurysm of aorta received grafting treatment of vascular intracavitary stent with membrane were analyzed retrospectively. Results 22 stents with membrane were used in 15 cases. The successful rate of operative technique was 100%. Internal leakage was happened in 6 cases during operation. The leakage orifice was closed after grating the second stent. Displacement of stent was found in 1 cases 3 months after operation and this patient was cured after grafting the stent with membrane.12 cases were cured,3 cases died after operation.death causes were arrhythmia and respiratory failure.With average postoperative follow-up 20 months, intima ruptured orifices were closed completely in all cases.There was thrombosis within seudocavity and no internal leakage was found. The seudocavities were shrinken obviously.Conclusion The stent with membrane grafting possesses a good short-term efficacy for the treatment of the dissecting aneurysm of aorta. But further research is still necessary to long-term efficacy.
出处
《岭南现代临床外科》
2006年第3期214-216,共3页
Lingnan Modern Clinics in Surgery
关键词
血管腔内带膜支架
主动脉夹层
腔内血管外科
Stent with membrane of vascular intra-cavity
Dissecting aneurysm of aorta
Intracavitary vascular surgery
