腔内修复术治疗复杂型腹主动脉瘤的治疗策略及疗效分析

发布时间：2018-05-02 01:38

本文选题：腹主动脉瘤 + 腔内隔绝术　；参考：《安徽医科大学》2017年硕士论文

【摘要】：目的:探讨复杂型腹主动脉瘤(AAA)采用腔内修复(EVAR)治疗的操作要点和临床疗效的分析。方法:回顾性分析2011年1月至2016年6月安徽医科大学第一附属医院血管外科收治的27例腹主动脉瘤患者的临床资料,分为复杂型腹主动脉瘤组和普通型腹主动脉瘤组,对两组患者的术前一般资料、围手术期治疗及术后随访的进行对比分析研究。结果:复杂组患者13例,普通组患者14例,复杂组平均年龄高于普通组患者的平均年龄(72.69±8.30)岁vs(70.21±8.54)岁,复杂组在疼痛症状例数、平均动脉瘤体长度、手术时长、支架个数、住院费用方面高于普通组(61、(9.10±2.10)cm(7.31±1.60)cm、(125±59)min(100±61)min、186310±33276162080±22412),两组患者上诉资料的差异有统计学意义(p0.05);两组患者手术成功率为100%,围手术期内漏数分别为5例和2例;术后两组患者随访1~12个月,平均随访率为76.9%和71.4%,平均随访时间为(8.9±0.8)个月和(8.8±0.8)个月,随访期间发生内漏的患者分别为2例和1例,期间未出现死亡病例,两组患者的以上资料的差异无统计学意义(p0.05)。结论:复杂型腹主动脉瘤行腹主动脉瘤腔内修复术治疗是一种切实可行的治疗方法。普通型腹主动脉瘤和复杂型腹主动脉瘤两组患者之间在疼痛症状例数、平均动脉瘤体长度、手术时长、支架个数、住院费用方面之间的差异有统计学意义。
[Abstract]:Objective: to investigate the operative points and clinical effect of intraluminal repair of complex abdominal aortic aneurysm (AAA). Methods: the clinical data of 27 patients with abdominal aortic aneurysm treated in the first affiliated Hospital of Anhui Medical University from January 2011 to June 2016 were retrospectively analyzed. The patients were divided into complex type abdominal aortic aneurysm group and common type abdominal aortic aneurysm group. The preoperative general data, perioperative treatment and postoperative follow-up were compared between the two groups. Results: there were 13 patients in complex group and 14 patients in common group. The average age of complex group was 72.69 卤8.30 years vs(70.21 卤8.54 years old than that of normal group. The number of pain symptoms, the length of artery tumor, the length of operation and the number of stents in complex group were higher than that in common group. The cost of hospitalization was higher than that of the normal group (9.10 卤2.10)cm(7.31 卤1.60m). The difference of appeal data between the two groups was statistically significant (p 0.05). The successful rate of operation was 100g / ml, the number of leakage in perioperative period was 5 cases and 2 cases were followed up for 1 ~ 12 months after operation, the patients in the two groups were followed up for 1 ~ 12 months, and the difference between the two groups was significant (p < 0.05). The average follow-up rate was 76.9% and 71.4%, and the average follow-up time was 8.9 卤0.8 months and 8.8 卤0.8 months, respectively. There were 2 cases of internal leakage and 1 case of internal leakage during the follow-up period. There was no significant difference in the above data between the two groups (p 0.05). Conclusion: endovascular repair of complex abdominal aortic aneurysm is a feasible method. There were significant differences in the number of pain symptoms, the average arterial tumor length, the length of operation, the number of stents and the cost of hospitalization between the patients with common abdominal aortic aneurysm and complex abdominal aortic aneurysm.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R654.3

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