主动脉瘤腔内修复术后综合征的危险因素分析

练诗林; 吴梦涛; 胡文平; 宋超; 陆清声

doi:10.16016/j.1000-5404.201906139

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主动脉瘤腔内修复术后综合征的危险因素分析

专题报道 | 更新时间：2026-01-09

- 主动脉瘤腔内修复术后综合征的危险因素分析
- Post-endovascular aortic repair syndrome: risk factor analysis of endovascular aneurysm repair
- 第三军医大学学报 2019年41卷第24期页码：2375-2379
- 作者机构：
  
  1.200433 上海，海军军医大学:基础医学院
  2.250000 济南，山东大学第二医院血管外科
  3.200433 上海，海军军医大学:附属长海医院血管外科
- 作者简介：
  
  [ 陆清声, E-mail: luqs@xueguan.net LU Qingsheng, E-mail: luqs@xueguan.net
- 基金信息：
- DOI：10.16016/j.1000-5404.201906139
  中图分类号： R181.32;R619;R654.3
- 收稿：2019-06-19，
  
  修回：2019-10-17，
  
  纸质出版：2019-12-30
- 稿件说明：
移动端阅览
练诗林, 吴梦涛, 胡文平, 等. 主动脉瘤腔内修复术后综合征的危险因素分析[J]. 第三军医大学学报, 2019,41(24):2375-2379.

Shilin LIAN, Mengtao WU, Wenping HU, et al. Post-endovascular aortic repair syndrome: risk factor analysis of endovascular aneurysm repair[J]. Journal of Third Military Medical University, 2019, 41(24): 2375-2379.
练诗林, 吴梦涛, 胡文平, 等. 主动脉瘤腔内修复术后综合征的危险因素分析[J]. 第三军医大学学报, 2019,41(24):2375-2379. DOI： 10.16016/j.1000-5404.201906139.

Shilin LIAN, Mengtao WU, Wenping HU, et al. Post-endovascular aortic repair syndrome: risk factor analysis of endovascular aneurysm repair[J]. Journal of Third Military Medical University, 2019, 41(24): 2375-2379. DOI： 10.16016/j.1000-5404.201906139.

摘要

目的

探讨主动脉瘤腔内修复术(endovascular aneurysm repair

EVAR)后早期不良事件的危险因素。

方法

通过对1997-2014年于我院就诊的2 193例主动脉瘤患者临床资料进行回顾性研究，运用多因素Logistic回归分析出现EVAR术后早期不良事件(early postoperative adverse events

EPAE)患者的围手术期血液学指标。

结果

术后早期不良事件的发生率为20.8%。多因素Logistic回归分析结果显示，术后白细胞计数(

=1.24

95%

:1.06-1.16，

=0.008)、血红蛋白水平(

=0.87，95%

:0.83-0.92，

0.001)和血小板水平(

=0.99，95%

: 0.98-1.00，

=0.029)的优势比有统计学意义。

结论

术后白细胞升高、血红蛋白下降和血小板下降是与EPAE相关的独立危险因素。

Abstract

Objective

To investigate the risk factors for early postoperative adverse events (EPAE) after endovascular aneurysm repair (EVAR).

Methods

A total of 2 193 cases of aortic aneurysm treated in Changhai Hospitaly from 1997 to 2014 were analyzed retrospectively. The perioperative hematological variables in relation to EPAE after EVAR were analyzed.

Results

The rate of EPAE was 20.8%. Multivariate analysis showed postoperative white cell count (

=1.24

95%

: 1.06-1.16

=0.08)

hemoglobin level (

=0.87

95%

: 0.83-0.92

0.01)

and platelet level (

=0.99

95%

: 0.98-1.00

=0.029) to be independent factors associated with the EPAE.

Conclusion

Increased white cell count and decreased hemoglobin and platelet levels are independent risk factors for EPAE.

关键词

Keywords

references

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