腹主动脉瘤开放手术与血管腔内治疗的疗效比较

都庆国; 代远斌

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腹主动脉瘤开放手术与血管腔内治疗的疗效比较

临床研究 | 更新时间：2024-01-17

- 腹主动脉瘤开放手术与血管腔内治疗的疗效比较
- Open surgery endovascular repair and for abdominal aortic aneurysm
- 重庆医科大学学报 2007年第6期页码：650-653
- 作者机构：
  
  1. 重庆医科大学附属第一医院普外科
  2. 重庆医科大学附属第一医院普外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R654.4
- 纸质出版日期：2007，
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[1]都庆国,代远斌.腹主动脉瘤开放手术与血管腔内治疗的疗效比较[J].重庆医科大学学报,2007(06):650-653.

DU Qingguo, et al. Open surgery endovascular repair and for abdominal aortic aneurysm[J]. Journal of Chongqing Medical University, 2007,(6):650-653.
[1]都庆国,代远斌.腹主动脉瘤开放手术与血管腔内治疗的疗效比较[J].重庆医科大学学报,2007(06):650-653. DOI：

DU Qingguo, et al. Open surgery endovascular repair and for abdominal aortic aneurysm[J]. Journal of Chongqing Medical University, 2007,(6):650-653. DOI：

摘要

目的:比较腹主动脉瘤开放手术治疗与血管腔内治疗的近期疗效。方法:对37例肾下型腹主动脉瘤患者的临床资料进行分析

比较传统开放手术治疗组（23例）与腔内治疗组（14例）的术前状况、手术相关情况、术后并发症、死亡率、费用及手术前后的实验室检查数据。结果:腔内组术中出血量和输血量明显少于手术组（P<0.05）。腔内组术后平均禁食时问和平均住院时间较手术组明显缩短（P<0.05）

手术组术后并发症发生率明显高于腔内组（P<0.05）术后第4天白细胞计数腔内组明显低于手术组（P<0.05）;术后第天1红细胞计数和血红蛋白水平在腔内组均明显高于手术组（P<0.05）;PT和APTT术后第1天腔内组明显低于手术组（P<0.05）。结论:腹主动脉瘤血管腔内治疗具有安全、微创、对人体内环境干扰小的优点

近期疗效较传统开放手术好。

Abstract

Objective:To compare the early result of endovascular repair and conventional openrepair for abdominal aortic aneurysm.Methods:We analyzed the clinical data of 37 patients withinfrarenal AAA.Among them

14 patients were treated with endovascular repair(EVR group)

23 with conventional open repair(COR group).Pre-operative status

intra-operative variables

complication?mortality rate?hospital expenditure?post-operative outcomes and laboratory findings of the two groups were compared.Results:Blood loss and blood transfusion in EVR group were signific’antly less than COR group(P<0.05).The median fasting period and post-operative hospital stay were shorter in EVR group(P<0.05).Post-operative complications were more often in COR group(P<0.05).WBC count in EVR group was lower in the forth day post-operation(P<0.05).RBC and Hb in EVR group were significantly higher in the forth day after operation(P<0.05).PT and APTT in EVR was lower in the first day post-operation(P<0.05).Conclusion:Endmascular repair of AAA is better for early results than conventional open repair and has the advantages of safety

less trauma and less disturbance to internal environment?

关键词

主动脉瘤血管外科手术支架血管腔内治疗

Keywords

Aortic aneurysmVascular surgical proceduresStentsEndovascular treatmenl

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