急性Stanford B型主动脉夹层腔内修复术后院内死亡的MSCT图像特征及危险因素

doi:10.7517/issn.1674-0475.220503

影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (5): 1184-1189.DOI: 10.7517/issn.1674-0475.220503

急性Stanford B型主动脉夹层腔内修复术后院内死亡的MSCT图像特征及危险因素

盛国芳¹, 曹艳芳¹, 罗春英², 胡海娟¹

1. 承德市中心医院血管外科, 河北承德 067000;
2. 承德市中心医院呼吸内科, 河北承德 067000

收稿日期:2022-05-10 发布日期:2022-09-13
通讯作者: 胡海娟

MSCT Image Characteristics and Risk Factors of In-hospital Death after Endovascular Repair of Acute Stanford Type B Aortic Dissection

SHENG Guofang¹, CAO Yanfang¹, LUO Chunying², HU Haijuan¹

1. Department of Vascular Surgery, Chengde Central Hospital, Chengde 067000, Hebei, P. R. China;
2. Department of Respiratory Medicine, Chengde Central Hospital, Chengde 067000, Hebei, P. R. China

Received:2022-05-10 Published:2022-09-13

摘要/Abstract

摘要： 本文研究急性Stanford B型主动脉夹层腔内修复术后院内死亡与中性粒细胞/淋巴细胞值（NLR）、平均血小板体积/血小板计数值（MPR）、血管活性药物评分（VIS）等的关系。选取198例急性Stanford B型主动脉夹层患者，分析院内死亡和非死亡患者临床资料、多层螺旋CT （MSCT）图像特征等差异。结果显示，死亡患者年龄、NLR、MPR、VIS评分和气管分叉处假腔面积占主动脉管腔总面积百分比明显高于非死亡患者（P<0.05）。年龄、NLR、MPR、VIS评分、气管分叉处假腔面积占主动脉管腔总面积百分比是患者院内死亡的影响因素（P>0.05），五者联合预测院内死亡的ROC曲线下面积为0.801，P<0.05。急性Stanford B型主动脉夹层腔内修复术后院内死亡患者NLR、MRP、VIS评分及气管分叉处假腔面积占主动脉管腔总面积百分比明显升高，在预测预后方面有一定应用价值。

关键词: 急性Stanford B型主动脉夹层, 腔内修复术, 死亡, 中性粒细胞/淋巴细胞值, 平均血小板体积/血小板计数值, 血管活性药物评分

Abstract: This paper investigated the relationship between in-hospital death after endovascular repair of acute Stanford type B aortic dissection and neutrophil/lymphocyte ratio (NLR), mean platelet volume/platelet ratio (MPR), vasoactive-inotropic score (VIS). Selected 198 patients with acute Stanford type B aortic dissection, and analyzed the differences in clinical data and multi-slice spiral CT (MSCT) image characteristics between in-hospital death and non-death patients. The results showed that age, NLR, MPR, VIS score and the percentage of the false lumen area at the tracheal bifurcation to the total area aortic lumen area of dead patients were significantly higher than those in non-dead patients (P<0.05). Age, NLR, MPR, VIS score and the percentage of percentage of the false lumen area at the tracheal bifurcation to the total area aortic lumen area were the influencing factors of in-hospital death (P>0.05). The area under the ROC curve of the five combined with the prediction of hospital death was 0.801, P<0.05. NLR, MPR, VIS scores and the percentage of percentage of the false lumen area at the tracheal bifurcation to the total area aortic lumen area are significantly increased in patients who died in hospital after endovascular repair of Stanford type B aortic dissection, which has certain application value in predicting prognosis.

Key words: acute Stanford type B aortic dissection, endovascular repair, death, NLR, MPR, vasoactive-inotropic score

盛国芳, 曹艳芳, 罗春英, 胡海娟. 急性Stanford B型主动脉夹层腔内修复术后院内死亡的MSCT图像特征及危险因素[J]. 影像科学与光化学, 2022, 40(5): 1184-1189.

SHENG Guofang, CAO Yanfang, LUO Chunying, HU Haijuan. MSCT Image Characteristics and Risk Factors of In-hospital Death after Endovascular Repair of Acute Stanford Type B Aortic Dissection[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1184-1189.

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急性Stanford B型主动脉夹层腔内修复术后院内死亡的MSCT图像特征及危险因素

MSCT Image Characteristics and Risk Factors of In-hospital Death after Endovascular Repair of Acute Stanford Type B Aortic Dissection

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