腹主动脉瘤腔内修复术与传统开腹术的疗效分析  

Prospective clinical controlled study on endovascular repair and conventional surgical repair abdominal aortic aneurysm

作　　者：蒋岚杉[1] 崔驰[1] 

机构地区：[1]绵阳市中心医院血管外科,四川绵阳621000

出　　处：《西部医学》2010年第3期454-455,457,共3页Medical Journal of West China

摘　　要：目的比较介入手段行带膜支架腔内隔绝术与传统开腹行人工血管置换术治疗腹主动脉瘤的手术风险及并发症情况。方法对我院采用传统开腹手术和腔内介入治疗的腹主动脉瘤患者的临床资料共23例进行回顾性分析。比较2组患者治疗前的身体状况、手术所用时间、术中出血量、术后恢复状况和并发症发生情况。结果介入手段行带膜支架腔内隔绝术治疗腹主动脉瘤在手术过程中的风险及术后短期并发症发生率均明显低于传统开腹行人工血管置换术(P<0.05)。结论介入手段行带膜支架腔内隔绝术治疗腹主动脉瘤比人工血管置换术手术创伤小、术后恢复快,但长期并发症发生率有待进一步观察。Objective To discuss the risks and complications of both endovascular stent-graft and traditional vascular prosthesis replacement of open abdominal surgery. Methods The clinical data of 23 patients treated by endovascular stent-graft and eonventional surgical repair were analyzed, retrospectively. Patient conditions, operative hours, blood loss, function recovery and complication were compared. Results The risks during the endovascular stent-graft and the short-term postoperative complications rates were apparently lower than those of traditional vascular prosthesis replacement of open abdominal surgery. Conclusion Endovascular stent-graft has advantages of mini-damage and sooner recovery, but the long-term complications rates need to be further observed.

关 键 词：腹主动脉瘤 腔内治疗 人工血管 

分 类 号：R732.21[医药卫生—肿瘤]