复合技术治疗主动脉夹层的临床效果  

Clinical effect of compound technology in the treatment of aortic dissection

作　　者：蔡隆仁[1] 吴澄[1] 李艳[1] 彭兴华 钟丰文[1] CAI Long-ren;WU Cheng;LI Yan;PENG Xing-hua;ZHONG Feng-wen(Department of Cardiac Surgery,Ganzhou People′s Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院心脏外科,江西赣州341000

出　　处：《中国当代医药》2021年第22期72-75,共4页China Modern Medicine

基　　金：江西省赣州市卫生和计划生育委员会科研计划项目(2017-2-7)。

摘　　要：目的探讨复合技术治疗主动脉夹层治疗的临床效果。方法选取2015年1月—2020年3月赣州市人民医院收治的30例主动脉夹层患者为研究对象,按照抽签法分为对照组和研究组,每组各15例。对照组给予烟囱技术+主动脉覆膜支架植入治疗,研究组给予复合技术治疗。比较两组患者的手术指标、手术前后的肝肾功能指标、术后并发症、随访期间的死亡情况及并发症发生情况。结果研究组的手术时间长于对照组,住院时间短于对照组,医疗费用低于对照组,差异有统计学意义(P<0.05);两组的术中出血量比较,差异无统计学意义(P>0.05)。手术前后,两组患者肝、肾功能各指标组间比较,差异无统计学意义(P>0.05);研究组术后谷草转氨酶、谷丙转氨酶、血肌酐、血清尿素水平高于术前,对照组谷草转氨酶、谷丙转氨酶、血清尿素水平高于术前,差异有统计学意义(P<0.05)。两组术后并发症总发生率比较,差异无统计学意义(P>0.05)。随访期间,两组均无死亡患者,两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论复合技术在主动脉夹层治疗中可缩短住院时间,降低医疗费用,且不会对肝肾功能造成明显损伤,预后效果好,值得广泛使用。Objective To investigate the clinical effect of compound technology in the treatment of aortic dissection.Methods Thirty patients with aortic dissection admitted to Ganzhou People′s Hospital from January 2015 to March 2020 were selected as the research objects.They were divided into a control group and a study group according to the lottery method,with 15 cases in each group.The control group was given chimney technique+aortic stent graft treatment,and the study group was given compound technique treatment.The surgical indicators,liver and kidney function indicators before and after surgery,postoperative complications,deaths during follow-up and occurrence of complications were compared between the two groups.Results The operation time of the study group was longer than that of the reference group,the hospital stay was shorter than that of the reference group,and the medical expense was lower than that of the reference group,the differences were statistically significant(P<0.05);the comparison of intraoperative blood loss between the two groups was not statistically significant(P>0.05).Before and after operation,there were no significant differences in liver and renal function indexes between two groups(P>0.05).The levels of glutamic oxalacetic transaminase,glutamic pyruvic transaminase,serum creatinine and serum urea in the study group were higher than those before operation,the levels of glutamic oxalacetic transaminase,glutamic pyruvic transaminase and serum urea in control group were higher than before operation,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).During the follow-up period,there was no death in the two groups,and there was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Compound technique in the treatment of aortic dissection can shorten the length of hospital stay,reduce medical costs,and do no

关 键 词：复合技术 主动脉夹层 手术指标 肝肾功能 并发症 

分 类 号：R543.1[医药卫生—心血管疾病]