摘要
目的探讨DeBakeyⅢ型主动脉夹层的临床特征和腔内隔绝术治疗的中远期疗效。方法回顾分析我科2009年1月～2010年12月收治的69例Ⅲ型主动脉夹层患者的临床特征及腔内隔绝治疗效果,通过随访了解其生存状况及术后并发症发生情况,评价临床中远期疗效。结果主动脉夹层症状以剧烈胸背部疼痛为主,但无特异性,部分病人可以腹痛、腹胀、少尿等为首发症状;腔内隔绝术可有效改善夹层动脉瘤患者生活质量,提高临床治愈率。临床随访12～24个月,69例中,死亡4例,生存率94.2%。结论Ⅲ型主动脉夹层是临床较凶险的疾病,腔内隔绝术可有效提高其临床治愈率及远期生存率。
Objective To explore the middle-and long-term curative effects of endovascular stent exclusion for the treatment of aortic dissection（DeBakey Ⅲ）.Methods Endovascular stent exclusion was performed in 69 patients with DeBakey Ⅲ aortic dissection from Jan 2009 to Dec 2010.The middle-and long-term curative effects were evaluated by retrospective analysis and follow-up.Results Endovascular stents exclusion were successfully performed in all 69 patients.During 12-24 months of follow-up,the survival rate was 94.2% and only 4 cases were dead.Conclusion Endovascular stent exclusion can increase the healing rate and long-term survival rate of DeBakey Ⅲ aortic dissection.
出处
《西南国防医药》
CAS
2011年第9期958-960,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
主动脉夹层
腔内隔绝术
疗效
随访
aortic dissection
endovascular stent exclusion
curative effect
follow-up
