[1]韩 磊,万珊杉,王家平,等.不同期Stanford B型胸主动脉夹层腔内修复 术后疗效及主动脉重塑临床研究[J].介入放射学杂志,2016,(11):958-961.
HAN Lei,WAN Shan- shan,WANG Jia- ping,et al.The efficacy of endovascular repair for Stanford B type aortic dissection of different pathological stages and the remodeling of aorta: a clinical study[J].journal interventional radiology,2016,(11):958-961.
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不同期Stanford B型胸主动脉夹层腔内修复 术后疗效及主动脉重塑临床研究 ()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2016年11期
- 页码:
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958-961
- 栏目:
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血管介入
- 出版日期:
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2016-11-25
文章信息/Info
- Title:
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The efficacy of endovascular repair for Stanford B type aortic dissection of different pathological stages and the remodeling of aorta: a clinical study
- 作者:
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韩 磊; 万珊杉; 王家平; 杨 帆; 吴 敏; 何 迷
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- Author(s):
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HAN Lei; WAN Shan- shan; WANG Jia- ping; YANG Fan; WU Min; HE Mi
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Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650101, China
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- 关键词:
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【关键词】 腔内修复术; 胸主动脉夹层; 治疗效果; 重塑
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨不同疾病时期胸主动脉夹层(TAD)腔内修复术(TEVAR)后临床结局及主动脉重塑形态学特点。方法 收集整理2005年2 月至2015 年 2 月收治的TEVAR术治疗Stanford B型TAD患者232例临床资料,对比分析术前临床和影像检查、术后随访结果。结果 术前临床指标中真腔塌陷、瘤样扩张在亚急性组(n=62)分别为35.48%、12.90%,慢性组(n=170)分别为76.47%、64.12%,差异有显著统计学意义(P=0.000 1);胸主动脉假腔通畅在亚急性组为79.03%,慢性组为91.18%,差异有统计学意义(P=0.012)。232例TEVAR术均获成功。末次随访CTA检查结果显示,支架段胸主动脉假腔血栓完全吸收患者比例在亚急性组为90.00%,慢性组为48.52%,差异有显著统计学意义(P<0.000 1);假腔部分血栓形成患者比例在亚急性组为10.00%,慢性组为51.48%,差异有显著统计学意义(P<0.000 1);亚急性组手术前后夹层真假腔变化较慢性组明显,差异有显著统计学意义(P<0.000 1)。结论 亚急性期TAD稳定,TEVAR术后疗效良好,主动脉壁形态学重塑优于慢性期患者。
参考文献/References:
[1] 王折存, 师天雄. Stanford B型主动脉夹层腔内隔绝术后主动脉重塑特点[J]. 中华临床医师杂志?电子版, 2015, 9: 1016- 1021.
[2] Fujikawa T, Yamamoto S, Sekine Y, et al. Operative results and clinical features of chronic stanford type B aortic dissection: examination of 234 patients over 6 years[J]. Eur J Vasc Endovasc Surg, 2015, 50: 738- 743.
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[4] 杨 帆, 王家平, 龙 超, 等. 带膜支架治疗Stanford B型胸主动脉夹层的疗效分析[J]. 介入放射学杂志, 2015, 24: 197- 199.
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[6] 郗二平, 朱 健, 朱水波, 等. 腔内修复术治疗急慢性DebakeyⅢ型夹层的临床研究[J]. 中华全科医学, 2013, 11: 686- 688.
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[9] 葛阳阳. Debakey Ⅲb型主动脉夹层中起源于假腔的胸段分支动脉与动脉重塑关系的研究[D]. 北京: 中国人民解放军医学院, 2015: 22- 23.
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备注/Memo
- 备注/Memo:
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(收稿日期:2016-02-05)
(本文编辑:边 佶)
更新日期/Last Update:
2016-11-22