【摘要】：目的:評(píng)價(jià)腔內(nèi)隔絕術(shù)治療老年患者Standford B型主動(dòng)脈夾層的臨床療效。方法:連續(xù)選取天津市胸科醫(yī)院2010年到2015年Standford B型夾層經(jīng)腔內(nèi)隔絕術(shù)治療的患者46例,患者年齡均≥65歲,術(shù)前均進(jìn)行超聲,增強(qiáng)CT,肝腎功能,血常規(guī)等檢查及化驗(yàn)�；颊叱鲈呵�、術(shù)后3個(gè)月、6個(gè)月、術(shù)后每年來(lái)院復(fù)查全主動(dòng)脈增強(qiáng)CT。隨訪截止于2015年12月。分析其危險(xiǎn)因素及患者的生存率。結(jié)果:46例術(shù)中支架放置成功;圍手術(shù)期死亡2例,術(shù)后8個(gè)月新發(fā)主動(dòng)脈夾層破裂死亡1例,隨訪期間總體生存率為89.13%,術(shù)前心臟射血分?jǐn)?shù)和動(dòng)脈瘤最大徑是隨訪期間患者死亡的獨(dú)立危險(xiǎn)因子。結(jié)論:腔內(nèi)隔絕術(shù)治療老年患者Standford B型主動(dòng)脈夾層的近期及遠(yuǎn)期療效令人滿意。圍術(shù)期血壓的控制、嚴(yán)格的影像學(xué)測(cè)量和選擇適當(dāng)?shù)闹Ъ苄吞?hào)是手術(shù)成功的關(guān)鍵。
[Abstract]:Objective: to evaluate the clinical effect of endovascular exclusion in elderly patients with Standford B aortic dissection. Methods: 46 cases of Standford B dissection treated by endovascular exclusion from 2010 to 2015 in Tianjin chest Hospital were selected. The patients were all aged 鈮，

本文編號(hào)：2146550