本文選題：腹主動脈瘤 + 腔內(nèi)隔絕術��； 參考：《安徽醫(yī)科大學》2017年碩士論文

【摘要】：目的:探討復雜型腹主動脈瘤(AAA)采用腔內(nèi)修復(EVAR)治療的操作要點和臨床療效的分析。方法:回顧性分析2011年1月至2016年6月安徽醫(yī)科大學第一附屬醫(yī)院血管外科收治的27例腹主動脈瘤患者的臨床資料,分為復雜型腹主動脈瘤組和普通型腹主動脈瘤組,對兩組患者的術前一般資料、圍手術期治療及術后隨訪的進行對比分析研究。結(jié)果:復雜組患者13例,普通組患者14例,復雜組平均年齡高于普通組患者的平均年齡(72.69±8.30)歲vs(70.21±8.54)歲,復雜組在疼痛癥狀例數(shù)、平均動脈瘤體長度、手術時長、支架個數(shù)、住院費用方面高于普通組(61、(9.10±2.10)cm(7.31±1.60)cm、(125±59)min(100±61)min、186310±33276162080±22412),兩組患者上訴資料的差異有統(tǒng)計學意義(p0.05);兩組患者手術成功率為100%,圍手術期內(nèi)漏數(shù)分別為5例和2例;術后兩組患者隨訪1~12個月,平均隨訪率為76.9%和71.4%,平均隨訪時間為(8.9±0.8)個月和(8.8±0.8)個月,隨訪期間發(fā)生內(nèi)漏的患者分別為2例和1例,期間未出現(xiàn)死亡病例,兩組患者的以上資料的差異無統(tǒng)計學意義(p0.05)。結(jié)論:復雜型腹主動脈瘤行腹主動脈瘤腔內(nèi)修復術治療是一種切實可行的治療方法。普通型腹主動脈瘤和復雜型腹主動脈瘤兩組患者之間在疼痛癥狀例數(shù)、平均動脈瘤體長度、手術時長、支架個數(shù)、住院費用方面之間的差異有統(tǒng)計學意義。
[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 鹵8.30 years vs(70.21 鹵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 鹵2.10)cm(7.31 鹵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 鹵0.8 months and 8.8 鹵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.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R654.3

【參考文獻】

相關期刊論文 前4條

1 張建勇;孟德凱;時然然;陳輝;劉玉;;腔內(nèi)修復術與開腹手術治療腹主動脈瘤圍手術期療效的Meta分析[J];中國普通外科雜志;2013年12期

2 Karkos CD;Harkin DW;Giannakou A;劉軍麟;殷梅;;腔內(nèi)修復破裂的腹主動脈瘤手術死亡率:一個系統(tǒng)評價和Meta分析[J];中華普通外科學文獻(電子版);2010年02期

3 郭偉;;腹主動脈瘤診斷與治療指南[J];中國實用外科雜志;2008年11期

4 陳祖望;周康榮;王濱;陳福真;;CT在腹主動脈瘤診斷中的價值[J];中華心血管病雜志;1992年06期

，

本文編號：1831861