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极简式胸主动脉腔内修复术的应用研究

Application of minimal invasive endovascular exclusion of thoracic aorta
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摘要 目的评估极简式胸主动脉腔内修复术的可行性和安全性。方法回顾性分析江门市中心医院2012年1月至2016年12月间所有采用极简式胸主动脉腔内修复术进行治疗De Bakey 3型主动脉夹层的患者的临床资料,分析手术成功率、手术部位伤口处理时间、术中和术后住院期间并发症、住院时间等。结果 5年间手术共122例,成功率100%;手术部位伤口处理时间为(10±5)min;术中无严重并发症,术后住院期间伤口血肿3例(2.5%),复查计算机断层扫描未见有支架移位情况;术后住院时间为(4.8±2.4)d。结论极简式胸主动脉腔内修复术是安全可行的。 Objectives To evaluate the feasibility and safety of minimalist approach thoracic endovascular aortic re-pair(TEVAR). Methods From January 2016 to December 2016,retrospective data were analyzed,which included all the patients with Debakey type 3 thoracic aortic dissection undergoing minimalist approach TEVAR in The Central Hospital of Jiangmen City. Analysis data included success rate of procedure ,wound treatment duration in operation site,complication and hospital stay. Results One hundred and twenty two patients had operation and all were success during the 5 years. Duration of wound treatment in operation site was(10±5)min. No serious complications and no stent displacement were found in computed tomography(CT). There were 3(2.5%)cases with wound hematoma after operation. Duration of hospitalization was(4.8±2.4)days. Conclusions Minimalist approach TEVAR is safe and feasible.
出处 《岭南心血管病杂志》 2017年第5期585-588,共4页 South China Journal of Cardiovascular Diseases
关键词 胸主动脉 腔内修复 极简式 thoracic aorta endovascular repair minimalist approach
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