| 主动脉夹层动脉瘤的杂交外科治疗 |
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| 引用本文： | 邬晓臣,张近宝,欧阳辉,丁盛,岳琴,周凯,辛梅,张宇兵.主动脉夹层动脉瘤的杂交外科治疗[J].实用医院临床杂志,2011,8(5):11-13. |
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| 作者姓名： | 邬晓臣 张近宝 欧阳辉 丁盛 岳琴 周凯 辛梅 张宇兵 |
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| 作者单位： | 成都军区总医院心脏外科,四川,成都,610083 |
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| 摘 要： | 目的探讨主动脉弓部破口的主动脉夹层动脉瘤的杂交外科治疗经验。方法分析应用杂交外科手术治疗38例主动脉夹层患者,按照架桥方法及术式分为：颈总动脉间架桥加腔内隔绝术19例,颈总动脉-升主动脉架桥加腔内隔绝术12例,颈总动脉-锁骨下动脉架桥加腔内隔绝术4例,腹主动脉-双侧肾动脉架桥加腔内隔绝术3例。结果所有患者夹层破口均被闭合,恢复真腔血流,住院死亡2例（成功率5.2%）,术后复查均未发生支架移位,1例原夹层破口处出现内漏,3例出现新破口,再次分别行腔内支架隔绝治愈。结论 主动脉夹层动脉瘤可通过外科手术结合腔内隔绝介入的综合外科治疗方案可以取得良好的效果,降低手术风险,提高手术治愈率。
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| 关 键 词： | 主动脉夹层 主动脉瘤 手术 支架 腔内隔绝 |
Hybrid treatment of aortic dissecting aneurysm with entrance in aortic arch |
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| Wu Xiao-chen,ZHANG Jin-bao,OUYANG Hui,DING Sheng,YUE Qin,ZHOU Kai,XIN Mei,ZHANG Yu-bing.Hybrid treatment of aortic dissecting aneurysm with entrance in aortic arch[J].Practical Journal of Clinical Medicine,2011,8(5):11-13. |
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| Authors: | Wu Xiao-chen ZHANG Jin-bao OUYANG Hui DING Sheng YUE Qin ZHOU Kai XIN Mei ZHANG Yu-bing |
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| Affiliation: | WU Xiao-chen,ZHANG Jin-bao,OUYANG Hui,DING Sheng,YUE Qin,ZHOU Kai,XIN Mei,ZHANG Yu-bing(Department of Cardiothoracic Surgery,Chengdu Military General Hospital,Chengdu 610083,China) |
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| Abstract: | Objective To observe hybrid surgical techniques and therapeutic effects of vascular prosthesis bridging and endovascular stent graft exclusion in aortic dissecting aneurysm.Methods Thirty-eight patients with aortic dissection(AD) were treated by hybrid surgical treatment.including 19 cases of left-right common carotid arteries bypass graft,12 cases of common carotid artery-ascending aorta bypass graft,4 cases of common carotid artery-subclavian artery bypass graft and 3 cases of abdominal aorta-bilateral re... |
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| Keywords: | Dissection of aorta Aortic aneurysm Surgery Stent Endovascular graft exclusion |
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