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锚定区不足的胸主动脉病变中部分覆盖左锁骨下动脉技术的应用价值研究

贺宝臣1,张爱民1,刘煜2,苏红玲1,马立国3,任春梅1,张健1   

  1. (河北省邯郸市中心医院 心血管外科1,胸外科2,邯郸 056000;3河北省邯郸市第二医院胸外科,邯郸 056000)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-08-25
  • 基金资助:
    #基金项目:河北省卫生厅计划项目(编号:20130361);项目名称:胸主动脉覆膜支架覆盖左锁骨下动脉严重脑缺血初步研究。

Study on the Application Value of Partial Coverage of the Left Clavicle in the Lesions of the Thoracic Aorta in the Anchorage Area

He Bao-chen,Zhang Ai-min,Liu Yu,et al.   

  1. (1Department of Cardiovascular Surgery;2Department of Thoracic Surgery,Handan Central Hospital,Hebei Province,Handan 056000, China)
  • Received:1900-01-01 Revised:1900-01-01 Online:2016-08-25

摘要: 【摘要】目的:分析锚定区不足的胸主动脉病变中部分覆盖左锁骨下动脉技术的应用价值。方法:回顾性分析54例锚定区不足的胸主动脉病变患者的临床资料,27例患者行部分覆盖左锁骨下动脉技术治疗,27例行全部覆盖左锁骨下动脉技术治疗,对比两组患者的治疗效果及术后并发症情况。结果:两组患者的锚定区长度、双上肢平均收缩压、术后显影通畅人数比例差异有统计学意义(P<0.05),内漏、脑卒中和围手术期死亡发生率差异无统计学意义(P>0.05);14例内漏消失,2例减少,1例内漏无明显变化。12例完全覆盖组患者出现轻度上肢麻木、乏力全晕等症状,部分覆盖组患者未出现以上症状。结论:对于行胸主动脉覆膜支架植入术治疗的锚定区不足的胸主动脉病变患者,在保证锚定区距离的情况下选择部分覆盖左锁骨下动脉治疗的安全性更高,可有效预防急性脑梗塞发生。

Abstract: 【ABSTRACT】Objective: To analyze the application value of partial coverage of the left and the inferior clavicle in the lesions of the thoracic aorta.Methods:A retrospective analysis of 54 cases of anchor short thoracic aortic lesions in patients with clinical data,27 cases underwent partial covering the left subclavian artery technique in the treatment,27 cases of full coverage of the left subclavian artery technique in the treatment,compared two groups of patients with therapeutic effect and postoperative complications.Results:The anchor of the two groups of patients with fixed length,double upper limbs average systolic blood pressure,postoperative developing patent number is proportional to the difference has statistical significance(P<0.05),internal leakage,stroke and perioperative death rate differences had no statistical significance(P>0.05);14 cases of internal leakage disappeared,2 cases were reduced,1 case of internal leakage had no obvious change.12 complete coverage group of patients with mild upper limb numbness,fatigue and other symptoms,partial coverage group of patients did not have the above symptoms.Conclusion:For thoracic aortic stent graft implantation for the treatment of the anchor fixed short thoracic aortic disease patients,in order to ensure the anchor distance selection part covering the left subclavian artery in the treatment of safety more high,can effectively prevent the occurrence of acute cerebral infarction.