[1]逯党辉,翟水亭,李天晓,等.复合手术治疗Stanford B型胸主动脉夹层 [J].介入放射学杂志,2015,(10):897-901.
　LU Dang-hui,ZHAI Shui-ting,LI Tian-xiao,et al.Hybrid operation for the treatment of Stanford type B aortic dissection[J].journal interventional radiology,2015,(10):897-901.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年10期
页码:
897-901
栏目:
临床研究
出版日期:
2015-10-25

文章信息/Info

Title:
Hybrid operation for the treatment of Stanford type B aortic dissection
作者:
逯党辉;  翟水亭;  李天晓;  王国权;  张志东;  朱绍成;  梁 凯;  张克伟;  李 坤;  符晓阳;  李卫校
Author(s):
LU Dang-hui;  ZHAI Shui-ting;  LI Tian-xiao;  WANG Guo-quan;  ZHANG Zhi-dong;  ZHU Shao-cheng;  LIAN Kai;  ZHANG Ke-wei;  LI Kun;  FU Xiao-yang;  LI Wei-xiao
Xinxiang Medical College， Xinxiang， Henan Province 453003， China
关键词:
【关键词】 主动脉夹层;  复合手术;  并发症
文献标志码:
A
摘要:
【摘要】 目的 探讨复合手术技术治疗主动脉弓部病变复杂的Stanford B型胸主动脉夹层的临床疗效。方法 2011年1月至2013年12月采用复合手术治疗主动脉弓部病变复杂的Stanford B型胸主动脉夹层患者33例，其中男28例，女5例，平均年龄（50±12）岁。分析围手术期及随访期（≥12个月）临床疗效及并发症发生情况。结果 33例手术均顺利，技术成功率为100%，无术中死亡病例，平均住院时间22 d。术后随访3～34个月29例，失访4例，随访率87.9%；21例随访≥12个月。术后造影无Ⅰ型内漏发生，并发肺部感染1例、脑卒中1例、可逆性肾功能异常6例、逆行性A型夹层1例，无截瘫发生。术后住院期间死亡2例，病死率6.06%。随访期发生移植物感染1例、逆行性A型夹层持续存在1例，无死亡病例。结论 复合手术治疗Stanford B型胸主动脉夹层围手术期及随访期并发症发生率低，具有良好的安全性与可行性，但术后部分严重并发症仍不可忽视，远期疗效尚需大样本系统性长期随访观察。

参考文献/References:

［1］ Patel HJ, Nguyen C, Diener AC, et al. Open arch reconstruction in the endovascular era: analysis of 721 patients over 17 years［J］. J Thorac Cardiovasc Surg, 2011, 141: 1417-1423.
［2］ Cochennec F, Tresson P, Cross JA, et al. Hybrid repair of aortic arch dissections［J］. J Vasc Surg, 2013, 57: 1560-1567.
［3］ Kotelis D, Geisbuesch P, Attigah N, et al. Total vs hemi-aortic arch transposition for hybrid aortic arch repair［J］. J Vasc Surg, 2011, 54: 1182-1186.
［4］ Antoniou GA, El Sakka K, Hamady M, et al. Hybrid treatment of complex aortic arch disease with supra-aortic debranching and endovascular stent graft repair［J］. Eur J Vasc Endovasc Surg, 2010, 39: 683-690.
［5］ 王国权， 翟水亭， 李天晓， 等． 覆膜支架血管腔内修复术后不可忽视的严重并发症——逆行性A型夹层［J］． 介入放射学杂志，2011， 20： 940-943．
［6］ 张 倞， 符伟国， 王玉琦， 等． 关于Stanford B型主动脉夹层腔内修复术后中远期并发症的若干问题［J］． 中华外科杂志， 2010， 48： 1847-1850．
［7］ Geisbusch P, Kotelis D, Muller-Eschner M, et al. Complications after aortic arch hybrid repair［J］. J Vasc Surg, 2011, 53: 935-941.
［8］ Yoshida RA, Kolvenbach R, Yoshida WB, et al. Total endovascular debranching of the aortic arch［J］. Eur J Vasc Endovasc Surg, 2011, 42: 627-630.
［9］ Czerny M, Schmidli J, Carrel T, et al. Hybrid aortic arch repair［J］. Ann Cardiothorac Surg, 2013, 2: 372-377.
［10］ White RA, Miller DC, Criado FJ, et al. Report on the results of thoracic endovascular aortic repair for acute, complicated, type B aortic dissection at 30 days and 1 year from a multidisciplinary subcommittee of the Society for Vascular Surgery Outcomes Committee［J］. J Vasc Surg, 2011, 53: 1082-1090.

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备注/Memo

备注/Memo:
（收稿日期：２０１4-11-11）
（本文编辑：边 佶）
更新日期/Last Update: 2015-10-19