腔内治疗腹主动脉瘤的临床疗效观察  

Clinical Curative Effect Observation of Intracavitary Therapy in Abdominal Aortic Aneurysm

作　　者：谭逢梅 聂莉霞[1] 刘毅[1] 

机构地区：[1]泸州医学院附属医院,四川泸州646000

出　　处：《中外医学研究》2014年第6期10-12,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨采用腔内治疗对腹主动脉瘤的临床治疗效果。方法:采集笔者所在医院因腹主动脉瘤收治入院患者60例,按随机数字表法分为对照组和观察组,其中对照组采用开放手术治疗,观察组采用腔内治疗,观察两组手术并发症、治疗等情况。结果:两组手术时间、出血量、异体输血量、ICU入住时间和住院时间比较,差异均有统计学意义(P<0.01)。观察组并发症发生率低于对照组(P<0.05)。在两组手术过程中,观察组对髂内动脉进行修补或重建者少于对照组,差异有统计学意义(P<0.05)。结论:经临床研究可见,观察组采用EVAR手术治疗效果明显优于对照组采用的OR手术治疗,值得临床推广应用。Objective：To explore the clinical effect of intracavitary therapy in abdominal aortic aneurysm.Method：A total of 60 patients with abdominal aortic aneurysm in our hospital were collected,and they were divided into the observation group and the control group by the random table,and patients in the control group were treated with open operation,and patients in the observation group were treated with intracavitary therapy,and complications and treatment of the two groups were observed.Result：The operation time,amount of bleeding,blood transfusion volume,ICU stay and hospital stay of the two groups were compared,and the differences were statistically significant（P〈0.01）.The occurrence rate of complications in the observation group was lower than that in the control group（P〈0.05）.During the operation,repair or reestablishment of internal iliac artery in the observation group was lower than that in the control group（P〈0.05）. Conclusion：The clinical research showed that the curative effect of EVAR operation in the observation group was better than that of OR operation in the control group,and it is worthy of clinically applying.

关 键 词：腔内治疗 腹主动脉瘤 

分 类 号：R654.3[医药卫生—外科学]