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目的观察覆膜支架主动脉腔内修复术(TEVAR)对Stanford B型主动脉夹层和降主动脉瘤的治疗效果。方法回顾性分析华西医院2013年3~6月采用TEVAR治疗Stanford B型主动脉夹层和降主动脉瘤患者20例的临床资料,其中男19例,女1例;年龄41~76(58.3±10.2)岁,分析其疗效。结果 20例患者中,治愈18例,自动出院1例,术后死亡1例。随访满3个月者16例,随访率88.9%。全部随访患者支架范围内真腔管径有所恢复,假腔或瘤腔内血栓形成。结论 TEVAR为Stanford B型主动脉瘤提供了一个新的选择,特别是为高龄和合并严重疾病的患者提供了新的治疗手段,优势明显,值得临床应用。
Objective To observe the therapeutic effect of stent-graft aortic endovascular repair (TEVAR) on Stanford type B aortic dissection and descending aortic aneurysm. Methods The clinical data of 20 patients with Stanford type B aortic dissection and descending aortic aneurysm treated with TEVAR from March to June 2013 in West China Hospital were retrospectively analyzed. There were 19 males and 1 females, aged 41-76 (58.3 ± 10.2 ) Years old, analyze its curative effect. Results Of the 20 patients, 18 were cured, 1 was discharged automatically and 1 died after operation. Follow-up of 3 months in 16 cases, follow-up rate was 88.9%. The diameter of the true lumen in the range of stent was restored in all patients, and the thrombus was formed in the lumen or cavity. Conclusion TEVAR provides a new option for Stanford type B aortic aneurysm, especially for the elderly and patients with severe diseases, and has obvious advantages and worthy of clinical application.