覆膜支架治疗eBakeyⅢ型主动脉夹层的临床研究.docVIP

覆膜支架治疗DeB akeylll型主动脉夹层的临床研究 ［ ］目的研究覆膜支架治疗DeBakeylll型主 动脉夹层的临床效果，为其临床治疗提供科学依据。 方法选取2013年1月?2014年12月收治的30例经 确诊且进行覆膜支架治疗的DaBakey III型主动脉夹 层患者和30例进行传统分支人工血管治疗的 DaBakey III型主动脉夹层患者，为别设置为观察组、 对照组。回顾性分析这60例DaB akey III型主动脉夹 层患者的临床资料，研究其手术治疗方法，比较两组 患者的手术成功率、死亡率、体外循环时间、阻断时 间、选择性脑灌注时间、术后24 h引流量、住院时间 及随访情况。结果两组患者的手术成功率、死亡率比 较，差异无统计学意义(P〉0.05)。观察组的体外循环 时间、阻断时间、选择性脑灌注时间、住院时间均明 显短于对照组(P ［关键词］DaBakey III型主动脉夹层；覆膜支架； 手术；腔内隔绝术 ［ ］R543.1+6 ［ ］A ［文章编 号］1674-4721 (2016) 07 (a) -0047-04 ［Abstract］Objective To study the clinical effects of covered stent in treating Debakey III type aortic dissection, and to provide scientific basis for clinical treatment of Debakey III type aortic dissection.Methods 30 Debakey III type aortic dissection patients who diagnosed and treated with covered stent and 30 Debakey Illtype aortic dissection patients who treated with traditional branch artificial blood vessel from January 2013 to December 2014 were selected and were divided into observation group and the control group.Retrospective study method was used to study the clinical data of 60 Debakey Illtype aortic dissection patients.The surgery method of them was studied，and the surgical success rate, mortality, extracorporeal circulation time，blocking time，selective cerebral perfusion time，induced flow volume in postoperative 24 h，hospital stays and follow up in two groups were compared.Results The difference of surgical success rate and mortality between two groups had no statistical significance （P〉0.05） .The extracorporeal circulation time，blocking time, selective cerebral perfusion time and hospital stays in observation group was obvious shorter than that of control group respectively （P [Key words]Debakey Illtype aortic dissection； Covered stent； Operation ； Endovascular graft exclusion 主动脉夹层是一种较为常见的心脑血管并发症， 又被称为“主动脉夹层动脉瘤”，是指由多种因素造成 的主动脉内膜破裂，血液流入主动脉壁层中，导致主 动脉壁出现分层情况，与内膜片之间形成双腔主动脉 ［1-2］如患者未能得到及时的治疗或治疗不当，很可能 会导致主动脉夹层内瘤体破裂，导致死亡的发生，故 临床上应对主动脉夹层进行积极有效的治疗，以减少 死亡的发生［3-4］。覆膜支架置入术逐渐被应用于治疗 主动脉夹层，这种手术又被称为“腔