[1]冀振春,沈振亚,余云生,等.胸主动脉腔内修复术后截瘫危险因素分析[J].介入放射学杂志,2022,31(12):1160-1164.
 JI Zhenchun,SHEN Zhenya,YU Yunsheng,et al.Analysis of the risk factors for paraplegia after thoracic endovascular aortic repair[J].journal interventional radiology,2022,31(12):1160-1164.
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胸主动脉腔内修复术后截瘫危险因素分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年12
页码:
1160-1164
栏目:
血管介入
出版日期:
2023-01-11

文章信息/Info

Title:
Analysis of the risk factors for paraplegia after thoracic endovascular aortic repair
作者:
冀振春 沈振亚 余云生 叶文学 黄浩岳 华 菲 陈一欢 胡雁秋 苏成锴
Author(s):
JI Zhenchun SHEN Zhenya YU Yunsheng YE Wenxue HUANG Haoyue HUA Fei CHEN Yihuan HU Yanqiu SU Chengkai.
Department of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215006, China
关键词:
【关键词】 胸主动脉腔内修复术 截瘫 危险因素
文献标志码:
A
摘要:
【摘要】 目的 探讨胸主动脉腔内修复术(TEVAR)后发生截瘫的危险因素。方法 回顾性分析2015年12月至2021年2月在苏州大学附属第一医院接受TEVAR治疗的307例Stanford B型主动脉夹层或胸主动脉瘤患者临床和影像资料。根据术后有无截瘫发生将患者分为截瘫组(8例)和无截瘫组(299例)。观察患者临床指标及围手术期主动脉CTA检查结果。对两组间差异有统计学意义的临床指标进行单因素和多因素logistic 回归分析。 结果 术后截瘫总发生率为2.61%。两组患者间伴冠心病、假腔血栓、围手术期低血压、支架远端距腹腔干开口长度、支架远端真腔狭窄率参数差异有统计学意义(均P<0.05)。单因素 logistic回归分析显示,围手术期低血压、支架远端距腹腔干开口长度、真腔狭窄率是截瘫发生的危险因素(均P<0.05)。多因素logistic回归分析显示,围手术期低血压、支架远端距腹腔干开口长度、真腔狭窄率是截瘫发生的独立危险因素(均P<0.05)。结论 围手术期低血压、支架远端距腹腔干开口长度、真腔狭窄率是TEVAR术后并发截瘫的预测因子。对于主动脉破口较低患者仍需寻找更优化方案封堵破口,保护脊髓供血,避免截瘫发生。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2021- 12- 09)
(本文编辑:边 佶)
更新日期/Last Update: 2023-01-11