【摘要】 目的 探讨外伤引起的降主动脉夹层的临床诊断及治疗。方法 回顾性分析2013年1月~2014年12月两年间我院收治的9例外伤性降主动脉夹层患者的临床资料。均为男性,年龄24~52岁,致伤原因包括车祸伤7例,坠落伤2例。均由胸腹主动脉血管成像(CTA)确诊,根据夹层累及的范围分为局限型(6例)和广泛型(3例)。结果 9例患者均行覆膜支架腔内修复术,围术期无并发症及死亡发生。术后随访3~6个月,所有患者复查CTA显示无内漏,无支架移位等并发症。结论 覆膜支架腔内修复术是治疗外伤性降主动脉夹层的有效方法 。更多还原

【Abstract】 Objective To evaluate the clinical diagnosis and treatment of descending aortic dissection caused by trauma.Methods From January 2013 to December 2014,nine patients with traumatic descending aortic dissection were retrospectively analyzed.Results All patients were males,aged from24 to 52 years.Underlying causes were traffic accidence(7 cases)and falling from the high(2 cases).All cases were diagnosed by thoracoabdominal aortic angiography(CTA).According to the extent of aortic dissection,traumatic descending aortic dissection was classified into the focal type(6 cases) and extensive type(3 cases).Endo vascular repair with coated stent was done in all cases.No perioperative complication or death was reported.CTA showed no endoleak or stent immigration during the follow-up period of 3 to 6months.Conclusion Endovascular repair with coated stent is a reliable treatment method for traumatic descending aortic dissection.更多还原