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目的:研究急性B型主动脉夹层患者接受胸主动脉腔内修复术治疗的临床效果。方法:选择江门市中心医院2009年1月至2015年12月收治的急性B型主动脉夹层患者共62例,根据患者实际患病类型进行参考分组,其中研究组32例为非复杂性急性B型主动脉夹层,对照组30例为复杂性B型主动脉夹层,两组患者均接受胸主动脉腔内修复术治疗,比较两组患者相关临床指标数据变化情况。结果:相比于对照组,研究组患者死亡率更低,组间比较,差异具有统计学意义(P<0.05)。但是研究组和对照组患者住院后各并发症发生率、出院后并发症发生率和动脉扩张率等比较,差异无统计学意义(P>0.05)。结论:将胸主动脉腔内修复术应用于急性B型主动脉夹层临床治疗中,无论是复杂性或非复杂性的急性B型主动脉夹层病症临床治疗效果及症状改善情况均相似,效果均较好,将这种手术方法应用于非复杂性急性B型主动脉夹层临床治疗患者死亡率更低,对于保证手术安全性、提高患者生存质量等具有重要意义。
Objective: To study the clinical effect of endovascular repair of thoracic aorta in patients with acute type B aortic dissection. Methods: A total of 62 patients with acute type B aortic dissection were selected from the Central Hospital of Jiangmen from January 2009 to December 2015. According to the actual type of patients, 62 cases were divided into two groups: non-complicated acute B Type aortic dissection, control group of 30 cases of complicated type B aortic dissection, two groups of patients underwent endovascular thoracic aortic repair, comparing the two groups of patients with clinical data changes. Results: Compared with the control group, the mortality rate of the study group was lower and the difference between the two groups was statistically significant (P <0.05). However, there was no significant difference in the incidence of complications after hospitalization, the incidence of complications after discharge and the rate of arterial expansion among study group and control group (P> 0.05). Conclusion: The application of endovascular repair of thoracic aorta in the clinical treatment of acute B-type aortic dissection is similar in both clinical efficacy and symptom improvement in both complicated and non-complex acute B-type aortic dissection Better, the application of this surgical approach to non-complex clinical treatment of acute type B aortic dissection in patients with lower mortality, for ensuring the safety of surgery, improve patient quality of life is of great significance.