摘要
目的对主动脉夹层进行临床分析及随访,以了解该病的诊治方法及影像学意义。方法选取本院接收的190例主动脉夹层的患者为研究对象,分析患者的临床资料和随访结果。结果 190例患者中男性有145例,女性有45例,数据对比差异有统计学意义(P<0.05)。保守治疗患者的死亡率为17.35%,血管介入治疗或外科手术治疗的死亡率为4.35%,两组数据对比差异有统计学意义(P<0.05)。在Ⅲ型患者中,保守治疗的死亡人数为14.86%,血管介入治疗和外科手术治疗的死亡率为2.70%,两组数据对比差异有统计学意义(P<0.05)。结论主动脉夹层中男性患者明显多于女性患者,高血压是影响病情发展及预后的一个重要因素;彩超能更好的表现出主动脉夹层的间接征象,在其诊断中具有良好的应用价值。给予患者血管介入和外科手术治疗,能有效提升患者的预后质量。
Objective To analyze the clinical dissection of aortic dissection to understand the diagnosis and treatment of the disease and its imaging significance. Methods 190 patients with aortic dissection were selected and analyzed. The clinical data and follow-up results were analyzed. Results In 190 cases, there were 145 cases of male patients, there were 45 cases of women, the data of were statistically significant （P 〈 0.05）. The mortality rate of patients with conservative treatment was 17.35%, and the mortality rate of vascular intervention or surgical treatment was 4.35%, the difference between the two groups was statistically significant （P 〈 0.05）. In patients with type III, the number of deaths from conservative treatment was 14.86%, and the mortality rate of vascular interventional therapy and surgical treatment was about 2.70%, and the mortality rate was statistically significant between the two groups （P 〈 0.05）. Conclusion Aortic dissection in male patients were more than female patients, hypertension is one of the important factors affecting the disease development and prognosis; color Doppler ultrasound can better show the indirect signs of aortic dissection, has good application value in the diagnosis. Vascular intervention and surgical treatment can effectively improve the prognosis of patients.
出处
《中国继续医学教育》
2017年第5期123-124,共2页
China Continuing Medical Education
关键词
主动脉夹层
临床分析
随访
aortic dissection
clinical analysis
follow-upcomplications.
