DeBakey Ⅲ型主動(dòng)脈夾層動(dòng)脈瘤腔內(nèi)治療.pdf

1、IDeBakeyIII型主動(dòng)脈夾層動(dòng)脈瘤腔內(nèi)治療型主動(dòng)脈夾層動(dòng)脈瘤腔內(nèi)治療中文摘要中文摘要目的總結(jié)DeBakeyIII型主動(dòng)脈夾層動(dòng)脈瘤行腔內(nèi)支架型人工血管修復(fù)治療的臨床體會(huì)。方法48例突發(fā)胸背痛的患者經(jīng)CT動(dòng)脈造影(CTA)確診為DeBakeyIII型主動(dòng)脈夾層。依據(jù)術(shù)前CTA影像資料，選擇合適的帶膜人工血管支架，在DSA監(jiān)視下施行帶膜人工血管支架移植術(shù)。48例主動(dòng)脈夾層動(dòng)脈瘤患者均以帶膜支架型人工血管行腔內(nèi)修復(fù)術(shù)，其中4例先行右頸總

2、動(dòng)脈－左頸總動(dòng)脈人工血管旁路術(shù)，再行腔內(nèi)修復(fù)術(shù)，2例行腔內(nèi)修復(fù)術(shù)的同時(shí)行左頸總動(dòng)脈煙囪術(shù)。術(shù)后1個(gè)月和術(shù)后6個(gè)月～20個(gè)月行CTA檢查，觀察手術(shù)療效以及有無(wú)內(nèi)漏、支架移位和塌陷等術(shù)后并發(fā)癥。結(jié)果48例手術(shù)成功，無(wú)1例患者死亡；無(wú)術(shù)后截癱，無(wú)內(nèi)漏、支架移位和塌陷發(fā)生，隨訪假腔血栓形成。結(jié)論覆膜支架型人工血管植入治療胸主動(dòng)脈夾層動(dòng)脈瘤創(chuàng)傷小，嚴(yán)重并發(fā)癥少，術(shù)后恢復(fù)快，近期療效滿意；遠(yuǎn)期療效有待于進(jìn)一步觀察。關(guān)鍵詞主動(dòng)脈夾層；腔內(nèi)治療；治療體

3、會(huì)作者：熊濤指導(dǎo)教師：李曉強(qiáng)目錄引言...............................................................................................................1資料與方法.....................................................................................

4、..................2結(jié)果...............................................................................................................5討論.....................................................................................

5、..........................6結(jié)論.............................................................................................................11參考文獻(xiàn)............................................................................

6、.............................12附圖.............................................................................................................15綜述：主動(dòng)脈夾層動(dòng)脈瘤治療進(jìn)展及相關(guān)問(wèn)題.........................................19中英文對(duì)照縮略詞表....