| 柴召强,马艺洪,李乐聪,等.不同时机行胸主动脉腔内修复术对老年Stanford B型主动脉夹层患者主动脉重塑及预后的影响[J].中国临床保健杂志,2025,28(5):659-662. |
| 不同时机行胸主动脉腔内修复术对老年Stanford B型主动脉夹层患者主动脉重塑及预后的影响 |
| Effect of the timing of thoracic endovascular aortic repair on aortic remodeling and prognosis in elderly patients with Stanford type B aortic dissection |
| 投稿时间：2025-01-10 |
| DOI：10.3969/J.issn.1672-6790.2025.05.015 |
| 中文关键词: 主动脉疾病 血管成形术 发病到治疗时间 预后 老年人 |
| 英文关键词: Aortic diseases Angioplasty Time-to-treatment Prognosis Aged 〖FL |
| 基金项目: |
| 作者 | 单位 | E-mail | | 柴召强 | 滕州市中心人民医院, 心脏大血管外科,山东滕州 277500 | chaizhaoqiangaone@163.com | | 马艺洪 | 滕州市中心人民医院, 心脏大血管外科,山东滕州 277500 | | | 李乐聪 | 滕州市中心人民医院, 心脏大血管外科,山东滕州 277500 | | | 史亚洲 | 滕州市中心人民医院,心胸外科,山东滕州 277500 | | | 刘亚民 | 滕州市中心人民医院,心胸外科,山东滕州 277500 | | | 赵守华 | 滕州市中心人民医院,心胸外科,山东滕州 277500 | 190618292@qq.com |
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| 中文摘要: |
| 目的 探讨不同胸主动脉腔内修复(TEVAR)术时机对老年Stanford B型主动脉夹层(TBAD)患者主动脉重塑及预后的影响。方法 回顾性分析2018年1月至2023年1月滕州市中心人民医院收治的102例老年TBAD患者临床资料,依据患者发病至干预时间将患者分为A组(≤14 d)及B组(>14 d),均行TEVAR术,对比2组手术技术成功率、真假腔直径、真腔/主动脉直径比(TLi)、假腔/主动脉直径比(FLi)及术后生存率。结果 2组手术技术成功率均为100%。术前,A组及B组最大真假腔直径、TLi、FLi比较,差异均无统计学意义(均P>0.05)；术后3个月,A组及B组最大真腔直径、TLi升高,最大假腔直径、FLi下降,且A组以上指标优于B组(P<0.05)。2组并发症发生率比较,差异无统计学意义(P>0.05)。所有患者均术后随访2年,Kaplan-Meier曲线分析结果显示,A组总生存率(91.89%)较B组(77.61%)高,但差异无统计学意义(P>0.05)。结论 老年TBAD患者早期行TEVAR术更有利于主动脉重塑,治疗时机对于患者预后影响不大。 |
| 英文摘要: |
| Objective To explore the effect of the timing of thoracic endovascular aortic repair (TEVAR) on aortic remodeling and prognosis in elderly patients with Stanford type B aortic dissection (TBAD).Methods The clinical data of 102 elderly patients with TBAD admitted to Tengzhou Central People′s Hospital from January 2018 to January 2023 was analyzed.According to the time from onset to intervention,the patients were divided into group A (≤14 d) and group B (>14 d).Both groups underwent TEVAR.The success rate of operation,diameters of true and false lumens,true lumen/aortic diameter ratio (TLi),false lumen/aortic diameter ratio (FLi) and postoperative survival rate were compared between the two groups.Results The success rates of operation in group A and group B both were 100%.There was no significant difference in the maximum diameter of true and false lumens,TLi,or FLi between group A and group B before operation (P>0.05).Three months after operation,the maximum true lumen diameter and TLi increased,while the maximum false lumen diameter and FLi decreased in both groups.Meanwhile,above indicators in group A were better than those in group B (P<0.05).There was no significant difference in the incidence of complications between group A and group B (P>0.05).All patients were followed up for 2 years after operation.Kaplan-Meier curve analysis results showed that the overall survival rate of group A (91.89%) was higher than that of group B (77.61%),but the difference between groups was not statistically significant (P>0.05).Conclusions Early TEVAR is more beneficial to aortic remodeling in elderly patients with TBAD,but the timing of treatment has little influence on the prognosis. |
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