[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 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年11期
页码:
958-961
栏目:
血管介入
出版日期:
2016-11-25

文章信息/Info

Title:
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:
韩 磊 万珊杉 王家平 杨 帆 吴 敏 何 迷
Author(s):
HAN Lei WAN Shan- shan WANG Jia- ping YANG Fan WU Min HE Mi
Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650101, China
关键词:
【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:
A
摘要:
【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:

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备注/Memo

备注/Memo:
(收稿日期:2016-02-05)
(本文编辑:边 佶)
更新日期/Last Update: 2016-11-22