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目的:对8年来所进行的主动脉夹层动脉瘤患者的治疗状况进行总结分析。方法:42例患者分别采用Bentall手术、David手术、单纯升主动脉置换术、Bentall手术+全弓置换+硬象鼻支架植入术、David手术+全弓置换+硬象鼻支架植入术、单纯升主动脉置换+全弓置换+硬象鼻支架植入术、覆膜血管支架腔内隔绝术和全胸腹降主动脉置换术,并进行3个月～3年随访。结果:完成Debakey Ⅱ型13例,Debakey Ⅰ型16例,DebakeyⅢa型5例,DebakeyⅢb型8例,无围手术期死亡。全部患者随访3个月～3年,均生存。结论:主动脉夹层动脉瘤手术复杂多样,应根据主动脉根部病变的情况选择升主动脉置换术式。
Objective: To summarize the treatment of aortic dissection in 8 years. Methods: Forty-two patients were treated with Bentall operation, David operation, simple ascending aorta replacement, Bentall operation + total arch replacement + hard-nose stent implantation, David operation + total arch replacement + Simple ascending aorta replacement + total arch replacement + hard-nose stent implantation, endovascular stent-graft exclusion and total abdominal aortic replacement, and 3 months to 3 years follow-up. Results: There were 13 cases of Debakey type Ⅱ, 16 cases of Debakey type Ⅰ, 5 cases of Debakey Ⅲ a type and 8 cases of Debakey Ⅲ b type. There were no perioperative deaths. All patients were followed up for 3 months to 3 years, all survived. Conclusion: Aortic dissection aneurysm complicated and diverse surgery, should be based on the situation of the aortic root lesion selection ascending aortic replacement surgery.