胸主动脉瘤手术高危因素分析及外科治疗策略  

High risk factors and treatment tragedy of thoracic aortic aneurysm surgery

作　　者：梁毅[1] 姜海明[1] 叶红雨[1] 唐暄 

机构地区：[1]广东省中山市人民医院心胸外科,528400

出　　处：《齐齐哈尔医学院学报》2015年第28期4232-4233,共2页Journal of Qiqihar Medical University

摘　　要：目的分析讨论胸主动脉瘤手术高危因素同时对比外科治疗策略。方法选取2012年3月至2013年9月我院胸外科录入的符合入选标准的受试者40例,作为研究对象。将所有患者按照随机分配原则分为传统治疗组和个体化组,比较两组患者在死亡率、术后1年内复发率和总体手术后生活质量满意度。同时比较分析两组患者在外科治疗的高危因素对患者死亡率,术中并发症发病率以及预后的影响。结果 40例患者在治疗后对比发现个体化治疗组患者的治疗疗效、患者满意程度好于传统治疗组,并且死亡率低于传统治疗组,P<0.05,具有统计学意义。高危因素会增加患者死亡率,并发症发病率以及严重影响患者预后,P<0.05,具有统计学意义。结论对于胸主动脉瘤的患者,个体化的外科治疗效果更好,但是一些高危因素可明显降低患者治疗疗效。Objective To analyze and discuss the high risk factors and treatment tragedy of thoracic aortic aneurysm surgery. Methods Selected 40 patients from March to 2013 in 2012 September in our hospital department of thoracic surgery entry eligible subjects as the research object. They were divided into traditional treatment group and individual group,compared two groups＇ mortality,relapsed rate in one year and the conscious of life quality after treatment. Analyzed and compared the influence of high risk factors on morality and complications and prognosis. Results Individual group ＇s curative effect were better than those of traditional treatment group,P〈0. 05,with statistical significance. The high risk factors would increase the morality,complications and influenced the prognosis of patients,P〈0. 05,with statistical significance. Conclusions For thoracic aortic aneurysm patients,individual treatment has better clinical effect,but some high risk factors can decrease patients＇ curative effect.

关 键 词：胸主动脉瘤 高危因素 外科治疗 疗效观察 

分 类 号：R722[医药卫生—儿科]