目的 总结65岁以上主动脉夹层患者手术方式的选择及疗效.方法 2005年1月至2012年5月,70例65岁以上主动脉夹层患者接受手术治疗.男47例,年龄65 ～ 78岁,平均71岁;女23例,年龄65 ～ 72岁,平均68岁.急性发病期55例,慢性期15例.根据相应病情采取不同手术方式,并对术后患者进行门诊随访,了解术后病情变化及疗效.结果 住院死亡8例,余均痊愈出院.随访3～72个月.随访期内无死亡,无动脉瘤破裂等严重并发症.9例术后6个月行覆膜支架腔内置入术.结论 对于65岁以上主动脉夹层患者,选择确切、快捷的手术方式有助于减少术后并发症,提高患者的生存率及生活质量.%Objective To retrospectively analyze the surgical methods and efficacy in 70 cases of type A aortic dissection patients over 65 years old.Methods From January 2005 to May 2012,70 type A aortic dissection patients over 65 years old received surgical treatment.Among them,there were 47 males aged 65 to 78 years old with mean 71,23 females,aged 65 to 72 years old with mean 68.55 cases were acute onset,while 15 cases were chronically onset.Different surgical methods were selected depend on patients' situations.We followed up all patients after discharged from hospital to continue to observe their health situation and evaluate the therapeutic effects.Results After surgery,eight patients died in the hospital,62 patients were recovered and discharged from the hospital.The mortality rate is 11.4％.During the follow up period from 3 to 72 months,there were no dead,aneurysm rupture and others severe complications.9 cases received endovascular graft exclusion within 6 months after discharged from hospital.The survival patients were satisfactory healed with their daily living activity resumed.Conclusion For over 65 years old patients with aortic dissection,the accurate and rapid selection of surgical method could improve the survival rate and the quality of life with a lower occurrence rate of complications.
展开▼
