覆膜支架治疗DeBakeyⅢ型主动脉夹层的临床研究

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Abstract Objective To study the clinical effects of covered stent in treating DebakeyⅢtype aortic dissection，and to provide scientific basis for clinical treatment of DebakeyⅢtype aortic dissection.Methods 30 DebakeyⅢtype aortic dissection patients who diagnosed and treated with covered stent and 30 DebakeyⅢtype aortic dissection patients who treated with traditional branch artificial blood vessel from January 2013 to December 2014 were selected and were divided into observation group and the control group.Retrospective study method was used to study the clinical data of 60 DebakeyⅢtype aortic dissection patients.The surgery method of them was studied，and the surgical success rate，mortality，extracorporeal circulation time，blocking time，selective cerebral perfusion time，induced flow volume in postoperative 24 h，hospital stays and follow up in two groups were compared.Results The difference of surgical success rate and mortality between two groups had no statistical significance（P＞0.05）.The extracorporeal circulation time，blocking time，selective cerebral perfusion time and hospital stays in observation group was obvious shorter than that of control group respectively（P＜0.05），and induced flow volume in postoperative 24 h in observation group was lower than that of control group（P＜0.05）.Postoperative short term follow-up data showed that the patients with successful surgery and survival in observation group and control group conducted nuclear magnetic resonance reviewed founded，the false lumen in aortic dissection decreased，the thrombosis formation and true lumen obvious increased，and any complications appeared.Conclusion In the clinical treating of DebakeyⅢtype aortic dissection，using covered stent treatment with obvious recent therapeutic effect，and with little complications and high safety.But the long term effects of covered stent in treating DebakeyⅢtype aortic dissection needs further discussion.

Key words： DebakeyⅢtype aortic dissection Covered stent Operation Endovascular graft exclusion

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	Articles by authors
	ZHOU Xiang-qun
	CHEN Hai-jin
	WEI Ying-na
	LIU Shang-jun
	PENG Xing

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ZHOU Xiang-qun,CHEN Hai-jin,WEI Ying-na, et al. Clinical study of covered stent in treating DebakeyⅢtype aortic dissection[J]. 中国当代医药, 2016, 23(19): 47-49转52.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I19/47

［1］	李兮屴，左维敏，符雅明，等.应用覆膜血管内支架置入术治疗DeBakeyⅢ型主动脉夹层［J］.中国介入影像与治疗学，2012，9（7）：564-565.
［2］	Kret MR，Azarbal AF，Mitchell EL，et al.Compliance with long-term surveillance recommendations following endovascular aneurysm repair or type B aortic dissection［J］.J Vasc Surg，2013，58（1）：25-32.
［3］	胡楝，曹勇，刘超，等.主动脉覆膜血管内支架治疗DebakeyⅢ型主动脉夹层的临床疗效［J］.中国心血管病研究，2015，13（1）：79-81.
［4］	曹华，江德斌，陈良万，等.覆膜支架腔内隔绝术治疗De-BakeyⅢ型主动脉夹层60例诊疗体会［J］.吉林医学，2012，33（8）：1627-1629.
［5］	周裔忠，罗骏，刘元庆，等.DeBakeyⅢ型主动脉夹层21例的临床诊治［J］.岭南心血管病杂志，2014，20（2）：213-214，222.
［6］	唐波，黄云，赵夏，等.分析覆膜支架腔内隔绝术治疗DebakeyⅢ型主动脉夹层的效果［J］.中西医结合心血管病电子杂志，2014，2（12）：115-116，118.
［7］	唐玉龙，王浩，岳乐，等.覆膜支架腔内隔绝术治疗主动脉夹层动脉瘤10例［J］.黑龙江医药，2013，26（6）：1079-1081.
［8］	李春平，韩涛，丁杭，等.55例DebakeyⅢ型主动脉夹层腔内隔绝术的随访研究［J］.福建医科大学学报，2012，46 （6）：433-435.
［9］	Andacheh ID，Donayre C，Othman F，et al.Patient outcomes and thoracic aortic volume and morphologic changes following thoracic endovascular aortic repair in patients with complicated chronic type B aortic dissection［J］.J Vasc Surg，2012，56（3）：644-650.
［10］	从长伟.主动脉夹层动脉瘤的外科治疗临床分析［J］.中国伤残医学，2013，21（4）：100-101.
［11］	伏佳，帅志峰，曾伟华，等.DeBakeyⅢ型主动脉夹层腔内修复术的临床研究［J］.临床医药实践，2015，24（1）：25-27.
［12］	靳中奎，李俊杰，杜德禄，等.腔内隔绝术治疗DeBakeyⅢ型夹层动脉瘤临床研究［J］.中国现代医生，2013，51 （25）：119-120.
［13］	席耀明，高伟，冯新海，等.36例主动脉夹层瘤行腔内覆膜支架隔绝术治疗［J］.新疆医学，2011，41（7）：37-40.
［14］	叶尔买克·唐沙哈尔，阿依别克·乃比，郭永忠，等.腔内隔绝术治疗37例DeBakeyⅢ型主动脉夹层动脉瘤［J］.中外医疗，2015，35（19）：84-86.
［15］	王昌会，徐岩，程自平，等.腔内隔绝术治疗DeBakeyⅢ型主动脉夹层动脉瘤的临床观察［J］.安徽医科大学学报，2011，46（1）：97-98.
［16］	李大刚，严中亚，卢中，等.术中覆膜支架在胸主动脉夹层手术中的应用［J］.安徽医科大学学报，2011，46（4）：400，封3.
［19］	史正山.主动脉覆膜支架腔内植入术治疗DeBakeyⅢ型主动脉夹层动脉瘤的疗效分析［J］.中国医药科学，2012，2（9）：162-163.
［17］	Karmonik C，Partovi S，Müller-Eschner M，et al.Longitudinal computational fluid dynamics study of aneurysmal dilatation in a chronic DeBakey typeⅢaortic dissection［J］.J Vasc Surg，2012，56（1）：260-263.
［18］	Karmonik C，Bismuth J，Shah DJ，et al.Computational study of haemodynamic effects of entry-and exit-tear coverage in a DeBakey typeⅢaortic dissection：technical report［J］.Eur J Vasc Endovasc Surg，2011，42（2）：172-177.
［20］	林杰，朱莉，殷屹岗，等.国产覆膜支架腔内隔绝术治疗DebakeyⅢ型主动脉夹层20例［J］.实用临床医药杂志，2012，16（22）：33-35.