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目的:评价应用腔内血管支架治疗腹主动脉瘤的优点。方法:对24例患者行DSA和带膜血管腔内支架植入隔绝手术治疗,其中Stanford B型夹层动脉瘤19例,真性腹主动脉瘤4例,假性腹主动脉瘤1例。所有病例均采用TALENTTM带膜支架移植物系统。术后对所有患者行螺旋CT随访。结果:除1例因胸主动脉夹层破口位于左锁骨下动脉开口处,无法放置腔内血管支架而行开胸手术外,余23例均顺利放入,术后患者症状完全消失,全部患者在随访期间均未出现术前症状,未见相关并发症。结论:应用带膜支架治疗胸主动脉Stanford B型夹层、真性和假性腹主动脉瘤,其效果较单纯开放式手术效果好且不良反应小,值得在临床上推广和应用。
Objective: To evaluate the advantages of using endovascular stent in the treatment of abdominal aortic aneurysm. Methods: Twenty-four patients underwent DSA and stent-graft surgery. Among them, 19 were Stanford type B dissection aneurysm, 4 were true abdominal aortic aneurysm and 1 was pseudo-abdominal aortic aneurysm. All cases were TALENTTM stent graft system. All patients underwent spiral CT follow-up. Results: Except for one case with thoracic aortic dissection located in the opening of the left subclavian artery, thoracic surgery was not allowed in the endovascular stent. All the 23 cases were successfully inserted and the symptoms disappeared completely in all patients During the follow-up period did not appear preoperative symptoms, no related complications. Conclusion: The treatment of Stanford type B dissection, true and false abdominal aortic aneurysms of the thoracic aorta with stent-graft is more effective than simple open surgery and has a small adverse reaction. It is worth to be popularized and applied clinically.