Stanford B 型动脉夹层术后主动脉形态学改变及影响因素
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(南阳市第二人民医院,河南 南阳 473000)

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薛蕾,女,讲师,主要研究方向是外科学。

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R 654.3

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Aortic Morphology Change and Influencing Factors after Stanford Type B
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(Nanyang Second People's Hospital, Henan Nanyang 473000)

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    摘要:

    〔摘 要〕 目的:探究 Stanford B 型动脉夹层患者术后主动脉形态学改变及影响因素。方法:选取南阳市第二人民医院 2016 年 7 月至 2019 年 3 月收治的 Stanford B 型动脉夹层患者 52 例,均行胸主动脉腔内修复术。比较术前、术后各节段直 径、真假腔,并分析主动脉形态学改变(下弓降部最大径变化)影响因素。结果:术后主动脉弓、弓降部最大径、腹主动 脉分叉直径高于术前,差异具有统计学意义(P < 0.05);膈肌水平主动脉、弓降部主动脉真腔直径术后较术前增大,假 腔直径术后较术前缩小,差异具有统计学意义(P < 0.05);支架长度 150 ~ 170 mm、发病时间≥ 90 d、不稳定型夹层下 弓降部最大径手术前后比较,差异具有统计学意义(P < 0.05);支架长度 150 ~ 170 mm、发病时间≥ 90 d、不稳定型夹 层为主动脉形态学改变的危险因素。结论:慢性 Stanford B 型动脉夹层患者行胸主动脉腔内修复术,可取得一定治疗效果, 支架长度较短、发病时间≥ 90 d、不稳定型夹层为影响术后主动脉形态学改变的危险因素,临床可据此制定防治措施。

    Abstract:

    〔Abstract〕 Objective To explore the changes of aortic morphological changes and influencing factors in patients with Stanford B type artery interlayer. Methods 52 patients with Stanford B-type artery interlayer in Nanyang Second People's Hospital from July 2019, were selected, and there was a row of chest aortic cavity. Preoperative preoperative, postoperative segment diameter, true and false cavity, and analyzed the influencing factors of the aortic morphological change (the maximum speed of the lower bow downside). Results The aortic arch, the largest diameter of the bow, the diameter of the abdominal aorta is higher than the preoperative, and the difference has statistical significance (P < 0.05); the diameter of the diameter of the diamuring and the aorta before surgery, the prolific diameter was reduced before surgery, and the difference was statistically significant (P <0.05); the length of the bracket length is 150 ~ 170 mm, the onset time is ≥ 90 d, the upper case, the large diameter surgery Before and after comparison, the difference has statistically significant (P < 0.05); the bracket length is 150 to 170 mm, the onset time is ≥ 90 d, the unstable sandwich is the risk factor in the aortic morphology to change risk factors. Conclusion Chronic STANFORD Type Type B-shaped carotic interpolation patients can achieve a certain therapeutic effect, the scaffold length is short, the onset time is ≥ 90 d, the unstable sandwich is the risk of affecting postoperative aortic morphology changes Factors, clinical, accordingly, prevention measures can be developed.

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  • 收稿日期:2021-07-27
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  • 在线发布日期: 2021-12-02
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