【摘要】 目的　介绍血管内支架技术治疗胸腹主动脉夹层动脉瘤的经验。方法　对 2 0 0 0年 10月～ 2 0 0 1年 6月间 6例胸腹主动脉夹层动脉瘤的治疗经过进行回顾性分析。结果　6例均为男性 ,年龄 42～ 72岁。StandfordA型胸腹主动脉夹层动脉瘤 1例 ,B型 5例。其中 5例经行腔内人工血管支架修复成功 ,1例中转腹主动脉夹层开窗手术。术后 1例发生髂外动脉夹层破裂 ,行腹主动脉夹层开窗人工血管移植术 ;1例术后 3d因严重心肌梗塞抢救无效死亡。 5例随访 1～ 9个月 ,情况良好。结论　腔内人工血管治疗主动脉夹层动脉瘤简化了手术操作 ,减小了手术风险。腹主动脉夹层开窗手术是治疗主动脉夹层的辅助手段。更多还原

【Abstract】 Objective To introduce the experience in endovascular stent graft repair (EVSGR) of thoracoabdominal aortic dissecting aneurysm (TAADA). Methods Retrospective analysis was made on the management of 6 patients with TAADA from October 2000 to June 2001. Results There were six male patients aged 42～72 in this series. Of them, 5 patients with Stanford type B TAADA and one with Stanford A TAADA. Of the 6 patients, The fissures were sealed and the dissections were disappeared completely in 5 cases; one case shifted to open surgery for abdominal aortic fenestration, Rupture of the iliac dissection occurred in 1 case 3 days after EVSGR, then the abdominal aortic fenestration and graft replacement of distal abdominal aorta were performed. One patient died of heart infarction on the third day postoperatively. Five cases were followed-up for 1～9 months, they all were alive and well. Conclusions Endovascular stent graft technique is safe and simple in repairing of TAADA, and abdominal aortic fenestration is an adjuvant procedure.更多还原