[1]田甜,郎希龙.马方综合征主动脉根部手术临床疗效分析[J].国际心血管病杂志,2022,06:376-378.
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马方综合征主动脉根部手术临床疗效分析(PDF)
《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]
- 期数:
- 2022年06期
- 页码:
- 376-378
- 栏目:
- 经验交流
- 出版日期:
- 2022-12-20
文章信息/Info
- Title:
- -
- Author(s):
- -
- 关键词:
- 马方综合征; 主动脉夹层; 动脉瘤; Bentall 手术
- Keywords:
- -
- 分类号:
- -
- DOI:
- 10.3969/j.issn.1673-6583.2022.06.016
- 文献标识码:
- -
- 摘要:
- 目的：总结马方综合征(MFS) 患者行主动脉根部手术的临床疗效。 方法：回 顾性分析2010 年1 月至2021 年9 月海军军医大学第一附属医院心血管外科收治的148 例 因主动脉根部病变行手术治疗的MFS 患者的临床资料，其中男性97 例，平均年龄34 岁。其 中85 例患者手术指征为主动脉夹层，63 例患者为主动脉根部瘤。133 例患者主动脉根部病 变行Bentall 术，余15 例行David 术，78 例患者同期行弓部手术，76 例患者行象鼻支架植 入术。 结果：患者围术期死亡10 例，二次开胸止血9 例，急性肾功能衰竭行血液透析7 例， 呼吸机辅助时间＞72 h 18 例。多因素回归分析结果提示术后急性肾功能衰竭行血液透析治 疗为围术期死亡的独立危险因素，生存曲线分析结果提示手术指征为主动脉夹层患者随访期 间再次手术风险显著高于动脉瘤患者。 结论：MFS 主动脉根部病变行根部手术的围术期 临床效果及长期生存率满意。
- Abstract:
- -
参考文献/References
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- 通信作者：朗希龙， E-mail：langxl2017@163.com
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