發(fā)布時(shí)間：2018-02-26 10:28

  本文關(guān)鍵詞： 胸主動(dòng)脈夾層動(dòng)脈瘤 腔內(nèi)修復(fù)術(shù) 烏拉地爾　出處：《實(shí)用癌癥雜志》2016年12期 　論文類型：期刊論文

【摘要】：目的探討烏拉地爾配合腔內(nèi)修復(fù)術(shù)治療Stanford B型胸主動(dòng)脈夾層動(dòng)脈瘤的臨床效果。方法選取Stanford B型胸主動(dòng)脈夾層動(dòng)脈瘤患者37例,經(jīng)主動(dòng)脈CT血管造影(CTA)確診后,對(duì)患者行胸主動(dòng)脈夾層腔內(nèi)修復(fù)術(shù),手術(shù)前、中以及后期均采用烏拉地爾配合控制術(shù)中血壓。結(jié)果 37例手術(shù)均成功完成,手術(shù)成功率100%。術(shù)后隨訪1年,其中術(shù)后2個(gè)月因再發(fā)胸主動(dòng)脈夾層動(dòng)脈瘤死亡1例,術(shù)后6個(gè)月因腹主動(dòng)脈夾層而接受外科手術(shù)1例,其余患者預(yù)后狀態(tài)良好,隨訪1年患者的存活率為97.3%。結(jié)論穩(wěn)定的血壓結(jié)合精準(zhǔn)的腔內(nèi)修復(fù)是治療Stanford B型胸主動(dòng)脈夾層動(dòng)脈瘤成功的關(guān)健。采用烏拉地爾配合腔內(nèi)修復(fù)術(shù)治療Stanford B型胸主動(dòng)脈夾層動(dòng)脈瘤安全、有效,值得臨床進(jìn)一步推廣。
[Abstract]:Objective to investigate the clinical effect of urapidil combined with endovascular repair in the treatment of Stanford B type thoracic aortic dissection aneurysm. Methods 37 patients with Stanford B thoracic aortic dissection aneurysm were diagnosed by CT angiography. Endovascular repair of thoracic aortic dissection was performed. Urapidil was used to control intraoperative blood pressure before, during and after operation. Results all 37 cases were successfully operated, and the success rate was 100%. All patients were followed up for 1 year. One patient died of recurrent thoracic aortic dissection 2 months after operation, and one underwent surgical operation for abdominal aortic dissection 6 months after operation. The prognosis of the remaining patients was good. Conclusion stable blood pressure combined with accurate endovascular repair is the key to the successful treatment of Stanford B thoracic aortic dissection aneurysm. Urapidil combined with endovascular repair is used to treat Stanford B thoracic active thoracic aneurysm. Vein dissecting aneurysm is safe, Effective, worthy of further clinical promotion.
【作者單位】： 江蘇省泰州市第二人民醫(yī)院;
【分類號(hào)】：R654.3

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