目的：探讨杂交技术在复杂主动脉病变应用。方法：回顾性分析2007 年8 月—2012 年8 月采用Hybrid 技术治疗的12 例复杂主动脉病变患者的临床资料，其中主动脉夹层9 例，胸腹主动脉瘤3 例，手术方式主要为各种人工血管旁路术联合覆膜支架腔内修复术。结果：所有患者均取得技术成功。1 例主动脉夹层患者术后出现支架近心端1 型内漏，未予处理，1 例主动脉夹层患者围手术期死于严重纵膈内感染，余患者术后康复良好。8 例患者随访3 个月至2 年，均存活良好，未发现内漏及其他并发症。结论：Hybrid 技术是治疗复杂主动脉病变一种合理的可选择方案。
Application of hybrid procedure in complex aortic diseases
Objective: To investigate the application of hybrid procedure in treatment of complex aortic diseases. Methods: The clinical data of the 12 patients with complex aortic disease undergoing hybrid treatment from August 2007 to August 2012 were retrospectively analyzed. Of the patients, 9 cases had aortic dissection, and 3 cases had thoracoabdominal aortic aneurysm. The procedures included various prosthetic bypass graftings combined with endovascular covered stent placement. Results: Technical success was achieved in all patients. Proximal type I endoleak occurred in one patient with aortic dissection after operation, for which no treatment was given; one patients with aortic dissection died during perioperative period due to severe mediastinal infection; the rest of the patients recovered well after operation. Follow-up was obtained in 8 patients for 3 months to 2 years, and all of them were alive without endoleak or other complications. Conclusion: Hybrid procedure is a viable alternative to patients with complex aortic diseases.