全穿刺与股动脉切开腔内修复术治疗B型主动脉夹层早期疗效比较

左尚维; 郭伟; 熊江; 隗瑛琦; 刘小平; 尹太; 贾鑫; 马晓辉; 张宏鹏; 张敏宏; 杜昕

doi:CNKI:11-3275/R.20111212.1134.006

全穿刺与股动脉切开腔内修复术治疗B型主动脉夹层早期疗效比较

Endovascular type B aorta dissection repair: A comparative study of early outcomes between total percutaneous technique and surgical femoral cut-down

摘要

摘要: 目的评价全穿刺技术与股动脉切开治疗主动脉夹层的疗效差异。方法 2009年1月-2011年8月入住解放军总医院行腔内治疗的非复杂性B型主动脉夹层共81例,对其中26例采用全穿刺技术,另55例采取股动脉切开,对比两组手术时间、术中出血量、造影剂用量、并发症、住院时间等情况。结果两组患者年龄、性别、急性夹层比例及高血压患病率无统计学差异(P>0.05),在造影剂使用量和手术时间上,全穿刺组显著低于股动脉切开组(P<0.05)。结论全穿刺技术治疗非复杂性B型主动脉夹层,可有效减低造影剂量和手术时间,长期效果仍需继续观察。

Abstract: Objective To assess the difference in endovascular type B aorta dissection repair between total percutaneous technique（TPT） and surgical femoral cut-down（SFC）. Methods Eighty-one patients with uncomplicated type B aorta dissection admitted to our hospital from January 2009 to August 2011 for endovascular repair were included in this study.The patients were divided into TPT treatment group（n=26） and SFC treatment group（n=55）.Their operation time,intra-operative blood loss,contrast media dosage,complications and hospital stay time were compared. Results No significant difference was observed in the age,gender,acute dissection rate and incidence of hypertension between the two groups（P＞0.05）.However,the contrast media dosage was significantly lower and the operation time was significantly shorter in TPT treatment group than in SFC treatment group（P＜0.05）. Conclusion TPT can effectively reduce the contrast media dosage and operation time of patients with uncomplicated type B aorta dissection.However,its long-term effect needs to be further observed.

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