关键词: 杂交手术, 主动脉夹层, 覆膜支架, 腔内治疗

Abstract: Objective:To evaluate the method and effect of hybrid operation for treating Stanford type A aortic dissection.Methods:From  January 2016 to December 2016，a total of 22 patients received hybrid operation for Stanford type A aortic dissection in Second Hospital of Hebei medical university were enrolled.The angiography was made just after operation.The data of computed tomography（CT），general condition and blood flow of bypass grafts were followedup at 1month，3month after operation.Results:The surgical operation and stent grafts implantation were completely successful.Angiography showed no obvious displacement or end leakage of stent grafts in operation.Blood flow in true lumen of aortic dissection was recovered and all of bypass grafts were unobstructed.All patients were followedup with 3 months，and all patients resumed normal life.Enhanced CT scanning at 1month，3month after operation showed no end leakage，stent grafts translocation and bypass graft obstruction.Conclusion:It is demonstrated that Stanford type A aortic dissection could be treated by hybrid operations.Hybrid operation is safe and effective，and could reduce surgical trauma and sufferings of patients.Hybrid operation could expand the indications of endovascular treatment，but longterm effect still needs further observation.

Key words: hybrid operation, aortic dissection, stent graft, endovascular treatment