[1]章思梦,陆清声,景在平.Standford B型主动脉夹层腔内修复术后主动脉重塑效果[J].介入放射学杂志,2016,(04):302-307.
　ZHANG Si- meng,LU Qing- sheng,JING Zai- ping.Outcomes of aortic remodeling after endovascular thoracic aortic repair for type B Standford aortic dissection[J].journal interventional radiology,2016,(04):302-307.
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Standford B型主动脉夹层腔内修复术后主动脉重塑效果 ()

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

卷:
期数:
2016年04期
页码:
302-307
栏目:
血管介入
出版日期:
2016-04-25

文章信息/Info

Title:
Outcomes of aortic remodeling after endovascular thoracic aortic repair for type B Standford aortic dissection
作者:
章思梦;  陆清声;  景在平
Author(s):
ZHANG Si- meng;  LU Qing- sheng;  JING Zai- ping
Department of Vascular Surgery， Affiliated Changhai Hospital， Second Military Medical University， Shanghai 200433， China
关键词:
【关键词】 Standford B型;  主动脉夹层;  主动脉夹层腔内修复术;  主动脉重塑
文献标志码:
A
摘要:
【摘要】 目的 系统性回顾Standford B型主动脉夹层腔内修复术（TEVAR）后主动脉重塑结果。 方法 检索已发表的评估TEVAR术后主动脉重塑文献，系统性回顾Standford B型主动脉夹层形态学测量方法及结果。共纳入19篇文献，其中仅3篇文献采用三维重建软件进行测量。各文献测量变量多为夹层真腔、假腔直径或面积，仅有少数文献计算了真假腔体积。结果 各文献测量的主动脉平面、术后随访时间及测量方法不同，无法进行数据整合。但总体趋势为急性B型夹层患者术后主动脉重塑效果（胸主动脉假腔血栓化比率为80%～90%）优于慢性患者（38%～91.3%），且更具有一致性；降主动脉术后假腔完全血栓化比率高于腹主动脉，降主动脉近端的主动脉重塑效果良好，膈肌角平面以下重塑效果较差。 结论 尽管TEVAR术后主动脉重塑的描述方式各异，但多数文献显示夹层累及主动脉范围广者术后重塑效果差，与夹层远端裂口旷置有关。覆膜支架长度、治疗时间等因素对术后重塑均有影响。统一的评估标准有利于评估主动脉重塑效果，并为临床决策提供更有力的科学支持。

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备注/Memo

备注/Memo:
（收稿日期：２０１5-10-21）
（本文编辑：边 佶）
更新日期/Last Update: 2016-04-21