【摘要】 目的覆膜支架已日益广泛用于治疗Stanford B型夹层动脉瘤。文中观察研究覆膜支架介入治疗Stanford B型夹层动脉瘤的疗效。方法对77例Stanford B型夹层动脉瘤行覆膜支架介入治疗,观察疗效与长期预后。结果 77例均成功封堵主动脉破口,近期死亡2例,存活患者5年生存率为73.3%,生活质量基本不受影响。结论覆膜支架介入治疗Stanford B型夹层动脉瘤是安全有效的方法,远期疗效满意。更多还原

【Abstract】 Objective Endovascular aortic repair of acute Stanford B aortic dissection is being wildly used.We aim to assess the effect of endovascular stent-graft repair in the treatment of acute Standford B aortic dissection.Methods We treated 77 patients with Stanford B aortic dissection by endovascular stent-graft repair,and observed the effect and long-term prognosis.Results Surgical success was achieved in all the 77 cases.Two patients died at 2 and 60 days respectively after surgery.The rate of 5-year survival was 73.3%,and the long-term quality of life was scarcely affected.Conclusion Endovascular stent-graft repair is safe and effective in the management of Standford B dissection,with satisfactory long-term results.更多还原