主动脉疾病专题研究(Monographic Study of Aortic Diseases)

Hybrid 技术在复杂主动脉病变治疗中的应用

Published at: 2015年第24卷第6期

万恒 1 , 林智琪 1 , 刘灏 1 , 陆京伯 1 , 周忠信 1 , 符方勇 1 , 叶玲 1 , 黄显莹 1 , 刘正军 1
1 南方医科大学南方医院 血管外科,广东 广州 510515
通讯作者 正军 刘 Email: liuzj@fimmu.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.06.003
基金:
国家临床重点专科建设项目经费资助项目

摘要

目的:探讨杂交技术在复杂主动脉病变应用。方法:回顾性分析2007 年8 月—2012 年8 月采用Hybrid 技术治疗的12 例复杂主动脉病变患者的临床资料,其中主动脉夹层9 例,胸腹主动脉瘤3 例,手术方式主要为各种人工血管旁路术联合覆膜支架腔内修复术。结果:所有患者均取得技术成功。1 例主动脉夹层患者术后出现支架近心端1 型内漏,未予处理,1 例主动脉夹层患者围手术期死于严重纵膈内感染,余患者术后康复良好。8 例患者随访3 个月至2 年,均存活良好,未发现内漏及其他并发症。结论:Hybrid 技术是治疗复杂主动脉病变一种合理的可选择方案。


Application of hybrid procedure in complex aortic diseases

Abstract

Objective: To investigate the application of hybrid procedure in treatment of complex aortic diseases. Methods: The clinical data of the 12 patients with complex aortic disease undergoing hybrid treatment from August 2007 to August 2012 were retrospectively analyzed. Of the patients, 9 cases had aortic dissection, and 3 cases had thoracoabdominal aortic aneurysm. The procedures included various prosthetic bypass graftings combined with endovascular covered stent placement. Results: Technical success was achieved in all patients. Proximal type I endoleak occurred in one patient with aortic dissection after operation, for which no treatment was given; one patients with aortic dissection died during perioperative period due to severe mediastinal infection; the rest of the patients recovered well after operation. Follow-up was obtained in 8 patients for 3 months to 2 years, and all of them were alive without endoleak or other complications. Conclusion: Hybrid procedure is a viable alternative to patients with complex aortic diseases.


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引用

引用本文: 恒 万, 智琪 林, 灏 刘, 京伯 陆, 忠信 周, 方勇 符, 玲 叶, 显莹 黄, 正军 刘. Hybrid 技术在复杂主动脉病变治疗中的应用[J]. 中国普通外科杂志, 2015, 24(6): 783-786.
Cite this article as: WAN Heng, LIN Zhiqi, LIU Hao, LU Jingbo, ZHOU Zhongxin, FU Fangyong, YE Ling, HUANG Xianying, LIU Zhengjun . Application of hybrid procedure in complex aortic diseases[J]. Chin J Gen Surg, 2015, 24(6): 783-786.