摘要
目的 分析A型主动脉夹层（TAAD）患者治疗中应用孙氏手术联合Bentall手术的术后疗效。方法 选取100例、2020年7月~2023年7月期间收治的TAAD患者，按随机数表法分组，接受孙氏手术+Bentall手术治疗患者共50例，纳入观察组。单行Bentall手术治疗患者共50例，纳入对照组。对比两组术后疗效及并发症情况。结果 观察组的选择性脑灌注时间（55.12±5.59）min及ICU住院时间（6.03±0.21）d均短于对照组（P<0.05）。观察组术后3d的血清IL-8、cTnT水平均低于对照组（P<0.05）。观察组的并发症发生率低于对照组（P<0.05）。结论 孙氏手术+Bentall手术治疗TAAD患者的术后疗效及预后较佳，且安全性较高。
关键词： 孙氏手术；Bentall手术；A型主动脉夹层；术后疗效
Abstract
Objective To analyze the postoperative efficacy of Sun's operation combined with Bentall in the treatment of type A aortic dissection (TAAD). Methods A total of 100 patients with TAAD admitted from July 2020 to July 2023 were selected and grouped according to random number table method. A total of 50 patients who received Sun's surgery and Bentall surgery were included in the observation group. A total of 50 patients underwent Bentall surgery and were included in the control group. The postoperative efficacy and complications were compared between the two groups. Results The selective cerebral perfusion time (55.12±5.59) min and ICU stay time (6.03±0.21) d in observation group were shorter than those in control group (P<0.05). Serum IL-8 and cTnT levels in the observation group were lower than those in the control group (P<0.05). The complication rate of the observation group was lower than that of the control group (P<0.05). Conclusion Sun's operation combined with Bentall surgery has better postoperative efficacy and prognosis in the treatment of TAAD patients with high safety.
Key words： Sun's operation; Bentall operation; Type A aortic dissection; Postoperative effect
参考文献 References
[1] 罗金龙,里程楠,庞锋,等.孙氏术式在老年急性Stanford A型主动脉夹层中的应用价值[J].中国临床新医学,2022, 15 (03): 247-250.
[2] 郭如韬,张宸翰,钟永亮,等.急性A型主动脉夹层患者行孙氏手术后呼吸衰竭的发生情况及其危险因素和治疗策略[J].中国医药,2021,16(12):1791-1794.
[3] 田永仓,赵丹,柏本健,等.三种术式治疗急性Stanford A型主动脉夹层效果对比研究[J].山西医药杂志,2021,50 (18): 2633-2636.
[4] 中国医药教育协会心脏外科分会及中国医药生物技术协会心血管外科技术与工程分会主动脉术式专家共识编写组,朱俊明,乔晨晖,等.主动脉术式中国专家共识——孙氏手术[J].中华胸心血管外科杂志, 2021, 37(12):3.
[5] 廖符鸿. Bentall+孙氏手术治疗急性主动脉夹层Stanford A3型疗效分析[D].南华大学,2019.
[6] 陈磊,孙江滨.孙氏手术治疗头臂血管严重受损的A型主动脉夹层过程中血液动力学参数的意义[J].中国医学物理学杂志,2021,38(08):1018-1022.
[7] 黄敏乾,章文龙,黄志辉,等.孙氏手术治疗急性Stanford A型主动脉夹层的临床观察[J].深圳中西医结合杂志,2021, 31(09):147-148.
[8] 金中强.A型主动脉夹层行孙氏手术的临床疗效及对血清IL-8、cTnT水平的影响[J].黑龙江医学,2020,44(09): 1181-1184.
[9] 张剑彬,刘治元,欧斌,等.孙氏手术治疗急性Stanford A型主动脉夹层的临床疗效及安全性分析[J].中国心血管杂志,2019,24(04):339-342.
[10] 彭俊.原发和继发Stanford A型主动脉夹层施行孙氏手术的临床疗效比较[J].广西医科大学学报,2020,37(01): 107-111.
[11] 郑德来,李强.孙氏手术治疗A型主动脉夹层的临床分析[J].当代医学,2019,25(22):45-48.