外科手术在腹主动脉瘤治疗中的地位  

The position of surgery in treatment of abdominal aortic aneurysm

作　　者：叶金明[1] 瞿丽[1] 唐骁[2] 符伟国[2] 

机构地区：[1]浙江医院血管外科,310013 [2]复旦大学附属中山医院血管研究中心,200000

出　　处：《浙江临床医学》2008年第9期1157-1159,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨并评价外科手术在腹主动脉瘤治疗中的地位和安全性。方法作者两所医院75例腹主动脉瘤患者,26例行外科手术腹主动脉瘤切除人工血管移植术,49例腔内治疗。分析2组的手术并发症、病死率、住院时间及住院费用。结果3例急诊外科手术患者2例死亡,其余择期外科手术及腔内治疗的患者均成功,无死亡,住院时间腔内治疗明显短于外科手术治疗,住院费用外科手术明显低于腔内治疗组。结论外科手术仍是目前治疗腹主动脉瘤的主要方法,是一种安全、经济有效、可普及的治疗手段。腔内治疗有它的特殊性,是微创外科发展的趋势。Objective To explore and evaluate the position and safety of surgery in treatment of abdominal aortic aneurysm . Methods 75 cases of abdominal aortic aneurysm of two hospitals were in this study , 26 had surgical excisions of abdominal aortic aneurysm and artificial vascular graft, 49 had intracavitary therapy. The operation complications,death rate ,hospital stay and cost of hospitalization were compared . Results 2 cases out of the 3 cases who had emergency surgery died , and all the other cases had selective operation of either surgical operations or intraeavitary therapy were successful without death , the hospital stay of intracavitary therapy was significantly shorter than that of surgical operation group, while the cost of hospitalization was significantly higher . Conclusions Surgical operation is still a main treatment for abdominal aortic aneurysm and it is safe,ecnomical, effective and widely applicable , while intracavitary therapy is one of the trends of minimal invasive surgery .

关 键 词：腹主动脉瘤 外科手术 地位 

分 类 号：R654.3[医药卫生—外科学]