单中心654例非复杂B型夹层腔内修复术远期疗效分析

摘要

目的:研究胸主动脉腔内修复术(TEVAR)在非复杂B型夹层患者中应用的中远期效果.方法:搜集我中心自2001年5月至2012年12月行TEVAR术治疗的的非复杂型B型夹层患者基本信息及手术情况并对其进行随访,将所得数据进行分析.结果:共有654例非复杂型B型夹层患者在我院接受TEVAR治疗,围术期死亡5例,病死率0.8％,2例发生完全性瘫痪(0.3％).患者术后5年、10年、14年生存率分别为96.6％,84.3％,67.8％.避免二次手术的比率5年、10年分别为94.6％、89.5％.结论:TEVAR手术在非复杂B型夹层患者中应用得到了较低的病死率、并发症率与较好的远期生存率.%Objective:To study the mid-term and long-term effect of TEVAR for patients with uncomplicated type B dissection.Methods:Medical and followed-up data of uncomplicated type B dissection patients treated by TEVAR from May 2001 to December 2012 in our center were collected and analyzed.Results:A total of 654 uncomplicated type B dissection patients received TEVAR treatments.5 patients (0.8％) died during perioperative period,2 patients (0.3％) suffered paraplegia.The 5-year,10-year and 14-year survival rates after TEVAR were 96.6％,84.3％ and 67.8％,respectively.The rate of avoiding secondary treatment in 5 years and 10 years were 94.6％ and 89.5％ respectively.Conclusion:The use of TEVAR for patients with uncomplicated type B dissection resulted in relatively lower mortality,lower incidence of complications and better mid-term and long-term survival.