2023年5月第30卷第5期单分支支架植入术结合开窗技术治疗DeBakeyⅢ型主动脉夹层的临床效果观察蔡楠，刘敬峰*（梅州市人民医院心血管内一科，广东梅州514031）【摘要】目的探讨单分支支架植入术结合开窗技术治疗DeBakeyⅢ型主动脉夹层的临床效果。方法选取2017年12月至2021年6月我院收治的70例DeBakeyⅢ型主动脉夹层患者，随机分为两组各35例。对照组采用单分支支架植入术治疗，观察组采用单分支支架植入术结合开窗技术治疗。比较两组的围术期指标、并发症发生率及术后随访期间的预后情况。结果与对照组相比，观察组手术时间较长，术中出血量较低，住院时间较短（P＜0．05）。观察组并发症发生率及术后随访期间不良预后发生率均低于对照组（P＜0．05）。结论与单分支支架植入术治疗相比，单分支支架植入术结合开窗技术治疗DeBakeyⅢ型主动脉夹层效果更好，可明显促进患者病情康复，降低并发症发生率，改善患者预后结局。【关键词】单分支支架植入术；开窗技术；DeBakeyⅢ型主动脉夹层；临床效果中图分类号：R543.1文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.05.0587ObservationontheClinicalEffectofSingleBranchStentImplantationCombinedwithFenestrationTechniqueintheTreatmentofDeBakeyⅢAorticDissection//CAINan,LIUJingfeng*(1stDepartmentofCardiovascularMedicine,MeizhouPeople'sHospital,Meizhou514031,China;*Correspondingauthor:LIUJingfeng,E-mail:1306684758@qq.com)[Abstract]ObjectiveToexploretheclinicaleffectofsinglebranchstentimplantationcombinedwithfenestrationtechniqueinthetreatmentofDeBakeyⅢaorticdissection.Methods70patientswithDeBakeyⅢaorticdissectionadmittedtoourhospitalfromDecember2017toJune2021wereselectedandrandomlydividedintotwogroups,with35casesineachgroup.Thecontrolgroupwastreatedwithsinglebranchstentimplantation,andtheobservationgroupwastreatedwithsinglebranchstentimplantationcombinedwithfenestrationtechnique.Theperioperativeindicators,incidenceofcomplicationsandprognosisduringpostoperativefollow-upwerecomparedbetweenthetwogroups.ResultsComparedwiththecontrolgroup,theoperationtimeoftheobservationgroupwaslonger,theintraoperativebloodlosswaslower,andthehospitalizationtimewasshorter(P<0.05).Theincidencesofcomplicationsandpoorprognosisdu...
