[1]杨素萍,简远熙,张文卿,等.Stanford B型主动脉夹层腔内修复术后Ⅰ型内漏危险因素分析[J].介入放射学杂志,2021,30(08):769-773.
 YANG Suping,JIAN Yuanxi,ZHANG Wenqing,et al.Analysis of risk factors of type Ⅰ endoleak occurring after thoracic endovascular aortic repair of Stanford type B aortic dissection [J].journal interventional radiology,2021,30(08):769-773.
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Stanford B型主动脉夹层腔内修复术后Ⅰ型内漏危险因素分析()

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

卷:
30
期数:
2021年08
页码:
769-773
栏目:
血管介入
出版日期:
2021-08-25

文章信息/Info

Title:
Analysis of risk factors of type Ⅰ endoleak occurring after thoracic endovascular aortic repair of Stanford type B aortic dissection
作者:
杨素萍 简远熙 张文卿 杨 帆 张 娅 王家平
Author(s):
YANG Suping JIAN Yuanxi ZHANG Wenqing YANG Fan ZHANG Ya WANG Jiaping.
Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650101, China
关键词:
【关键词】 主动脉夹层 胸主动脉腔内修复术 内漏
文献标志码:
A
摘要:
【摘要】 目的 探讨Stanford B型主动脉夹层(AD)患者胸主动脉腔内修复术(TEVAR)后Ⅰ型内漏发生的危险因素。方法 回顾性分析2014年6月至2019年6月在昆明医科大学第二附属医院接受TEVAR 术的Stanford B型AD患者临床资料。根据术后有无内漏分为内漏组、无内漏组。比较两组患者一般资料、术前影像学特点、手术资料差异。采用多因素logistic回归法分析TEVAR术后Ⅰ型内漏危险因素。结果 共纳入49例患者,其中内漏组14例,无内漏组35例。两组患者一般资料、手术资料差异均无统计学意义(P>0.05)。内漏组、无内漏组患者主动脉弓曲率半径(RoC)分别为(23.43±3.98) mm、(30.85±4.33) mm,差异有显著统计学意义(P<0.001);近端锚定区长度分别为(13.23±6.71) mm、(32.85±14.97) mm,差异有显著统计学意义(P<0.001);其余影像学特点比较,差异均无统计学意义(P>0.05)。多因素logistic回归分析显示,主动脉弓RoC(OR=0.664,95%CI=0.468~0.942, P=0.022)、近端锚定区长度(OR=0.833,95%CI=0.719~0.964,P=0.014)是TEVAR术后患者Ⅰ型内漏的危险因素。结论 主动脉弓RoC和近端锚定区长度是Stanford B型AD患者TEVAR术后Ⅰ型内漏的危险因素。

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备注/Memo

备注/Memo:
(收稿日期:2020- 04- 27)
(本文编辑:边 佶)
更新日期/Last Update: 2021-08-18