腔内隔绝术治疗胸主动脉夹层动脉瘤对心肝肾功能的影响.pdf

昆明医学院研究生论文 结论:带膜支架腔内隔绝术对胸主动脉夹层动脉瘤患者的心肝肾功能影响轻微。 该技术是一种适合胸主动脉夹层动脉瘤，尤其是同时合并高龄及一定脏器功能不 全患者的比较安全的微创治疗方法。 [4t健Ull9内隔筑术 胸主动脉央层动脉瘤 带膜支架 器官功能 昆明医学院研究生论文 EffectsontheFunctionofHeart,LiverandKidneyafterEndovascularGraft ExclusionforThoracicAorticDissectionAneurysm Postgraduate:Zhaoguang-giang Tutor:Prof.Huangyin-chao Prof.Yangdo-kuan Objective:Toinvestigatetheinfluenceofendovasculargraftexclusion(EVGE)by comparingthechangeofthefunctionofheart,liverandkidneybeforeandafterthe EVGEofthoracicaorticdissection(TAD,StanfordB). Methods:Computedtomorgaphyangiography(CTA),magneticresonanceimaging (MRA)ordigitalsubtractionangiorgaphy(DSA)wereusedaspreoperativeevaluation methodsofthoracicaorticdissectionaneurysm.Accordingtothespecificsituationof patients,thesuitablestent-rgaftswereselected.Thestent-graftswereinsertedrfom thefemoralarterytoexcludethetearofdissectionof12cases,andalloperationswere performedbygeneralanesthesiaunderDSAguidance.Thefunctionofheart,liverand kidneywasmeasuredbeforeandafteroperation勿usingtheautomaticapparatusof serumbiochemicalanalysisandechocardiography. Results: 1.Kidneyfunctionmeasurement:Therewasnosignificantdifferencebetweenthe parametersofcreatinine(Cr)andbloodurea(BU)beforeand48-72hoursafter operation.CrandBUsignificantlydecreasedonemonthafteroperation(P ().M).Therewasacertainimproveonthefunctionofheart. 2.Liverfunctionmeasurement.48-72hoursafteroperation,theserumcontentsof totalprotein,albumin,globulindecreasedsignificantlyandconnectbilirubin- recoveringthelevelofbeforeoperationonemonthafteroperation,increased significantlycomparedwiththosebeforeoperation.Therewasnosignificantchange inthetotalbilirubin,unconnectbilirubin,ALT,AST,pre-andpostoperation 3.Heartfunctionmeasurement:EFincreasedsignificantly24-48hoursafteroperation 昆明医学院研究生论文 comparedwith