腔内修复术治疗中高危腹主动脉瘤的临床疗效评价

发布时间：2018-04-19 23:38

本文选题：腹主动脉瘤 + 腔内修复术　；参考：《中国现代医学杂志》2017年03期

【摘要】：目的探讨腔内修复术治疗中、高危腹主动脉瘤(AAA)患者的疗效优势。方法回顾性收集该院2012年3月-2015年5月AAA患者共62例。根据手术方式不同,分为开腹手术(OSR)组29例和腔内修复手术(EVAR)组33例,比较两组患者术前临床资料、手术相关变量和术后恢复情况。结果两组患者术前资料基本一致,具有可比性(P0.05)。在手术治疗方面,EVAR组术中输血量和失血量低于OSR组,差异有统计学意义(P0.05);EVSR组患者较少采用全身麻醉方式,两组比较差异有统计学意义(P0.05);两组手术费用比较,差异有统计学意义(P0.05),EVSR组高于OSR组。在随访方面两组比较差异有统计学意义(P0.05),EVSR组术后手术相关并发症发生率高于OSR组患者。两组患者在术后死亡率、非手术相关并发症的比较,差异无统计学意义(P0.05)。结论 EVSR治疗中、高危AAA患者近期手术疗效优于OSR,有助于中、高危AAA患者的微创治疗,但其远期疗效优势尚需进一步论证。
[Abstract]:Objective to evaluate the efficacy of endovascular repair in patients with high risk abdominal aortic aneurysm (AAA). Methods 62 patients with AAA from March 2012 to May 2015 were retrospectively collected. According to the different operation methods, the patients were divided into open surgery group (29 cases) and endovascular repair group (33 cases). The preoperative clinical data, operative variables and postoperative recovery were compared between the two groups. Results the preoperative data of the two groups were consistent and comparable (P 0.05). The amount of blood transfusion and blood loss in EVAR group was lower than that in OSR group, and the difference was statistically significant (P 0.05). The difference was significantly higher in EVSR group than in OSR group. The incidence of postoperative complications in EVSR group was higher than that in OSR group. There was no significant difference in postoperative mortality and non-operative complications between the two groups (P 0.05). Conclusion in the treatment of EVSR, the short-term curative effect of high risk AAA is better than that of OSR, which is helpful to the minimally invasive treatment of high risk AAA patients, but its long term curative advantage still needs to be further demonstrated.
【作者单位】：华中科技大学同济医学院附属武汉中心医院普通外科;
【分类号】：R654.3

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