中国实用外科杂志2012，Vol.32Issue(12)：1015-1017,3.
破裂腹主动脉瘤行腔内修复术与开放手术早期结果比较研究
Endovascular versus open repair of ruptured abdominal aortic aneurysm: early term results of a single centre
许永乐 1杜昕 1王立军 1郭伟 1刘小平 1熊江 1贾鑫 1马晓辉 1张宏鹏 1张佳 1张敏宏1
作者信息
- 1. 中国人民解放军总医院血管外科,北京100853
- 折叠
摘要
Abstract
Objective To compare perioperative mortality and other important early term data after endovascular repair (EVAR) and open repair (OR) of ruptured abdominal aortic aneurysm (rAAA), and evaluate the different procedures. Methods Thirty-seven records were retrospectively reviewed from January 2009 to May 2012 in Department of Vascular Surgery, General Hospital of PLA for repair of rAAAs. The patients were divided into two different groups by the repair method, which were rEVAR vs rOR. Results Twenty-four rAAAs were repaired by rEVAR and 13 by rOR. Perioperative mortality was 16.7% for rEVAR and 30.8% for rOR (P=0.413). Operating time was 174 min for rEVAR and 372 min for rOR (P=0.000). Blood to lose was 213mL for rEVAR and 4008mL for rOR (P=0.000). Blood to transfuse was 1849mL for rEVAR and 4692mL for rOR (P=0.002). ICU stay was 2.6 days for rEVAR and 8.6 days for rOR (P=0.012). LOS was 12.5 days for rEVAR, and 21.4 days for rOR (P=0.025). The hospital ization charges were similar between the two groups. Conclusion EVAR is a safe and effective option for treatment of rAAAs compared with open repair. EVAR should be considered as the firstline treatment of rAAAs if adequate skills, facilities and protocols are available.关键词
破裂性腹主动脉瘤/腔内修复术/开放手术Key words
ruptured abdominal aortic aneurysm/endovascular repair/open repair分类
医药卫生引用本文复制引用
许永乐,杜昕,王立军,郭伟,刘小平,熊江,贾鑫,马晓辉,张宏鹏,张佳,张敏宏..破裂腹主动脉瘤行腔内修复术与开放手术早期结果比较研究[J].中国实用外科杂志,2012,32(12):1015-1017,3.
