覆膜支架治疗Stanford B型主动脉夹层临床研究.docVIP

覆膜支架治疗Stanford B型主动脉夹层临床研究 　　[摘要]目的 探析覆膜支架在Stanford B型主动脉夹层（AD）中的临床疗效。方法 从2012年1月～2014年12月本院收治的AD（Stanford B型）病例中选择60例，随机分为保守治疗组（30例）和介入治疗组（30例），分别给予内科保守治疗和覆膜支架介入治疗。观察两组死亡率、并发症发生率、住院时间与出院后2年的血压达标率、治疗依从性及生存率。结果 介入治疗组住院时间[（26.1±10.1）d]低于保守治疗组[（33.9±17.8）d]，差异有统计学意义（P0.05）；出院2年后，介入治疗组血压达标率（93.33%）、存活率（93.33%）、治疗依从性（93.33%）均高于保守治疗组（60.00%、53.33%、73.33%），差异有统计学意义（P0.05）。结论 以覆膜支架为手术依托，对B型AD患者行腔内隔绝手术治疗，不但恢复速度快、术后并发症较少，而且患者的存活率更高，有着良好的远、近期疗效，应予以推广。 　　[关键词]覆膜支架；Stanford B型；主动脉夹层；介入治疗 　　[中图分类号] R543.1 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0036-03 　　Clinical study of stent implantation in the treatment of Stanford type B aortic dissection 　　XI Hai-long 　　Department of Cardiology，Xinyu City People′s Hospital in Jiangxi Province，Xinyu 338000，China 　　[Abstract]Objective To investigate the clinical efficacy of stent graft in Stanford type B aortic dissection （AD）.Methods From January 2012 to December 2014，60 patients with type B AD treated in our hospital were selected and randomly divided into conservative treatment group （30 cases） and intervention group （30 cases）.The patients were treated with conservative treatment and interventional treatment of stent graft.The mortality rate，complication rate，hospitalization time and blood pressure target achievement rate，treatment compliance and survival rate were observed at 2 years after discharge.Results The length of hospital stay in the intervention group [（26.1±10.1）d] was significantly lower than that in the conservative treatment group （33.9±17.8） d，the difference was statistically significant（P0.05）.After 2 years of discharge，the blood pressure target achievement rate （93.33%），survival rate（93.33%） and treatment adherence（93.33%） of intervention group were significantly higher than those in the conservative treatment group（60.00%，53.33%，73.33%），the difference was statistically significant（P0.05）.Conclusion The patients with type B AD underwent endovascular surgery，which not only rapid recovery，has fewer postoperative compl