基于logistic回归分析腹主动脉瘤EVAR术后髂支闭塞的因素  

Study on the Factors of Iliac Branch Occlusion after EVAR for Abdominal Aortic Aneurysm Based on Logistic Regression Analysis

作　　者：秦稳稳 李静[1] 越帅 QIN Wen-wen;LI Jing;YUE Shuai(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang Henan 471000)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000

出　　处：《深圳中西医结合杂志》2023年第9期72-74,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨腹主动脉瘤患者经腹主动脉瘤腔内修复术(EVAR)后发生髂支闭塞的影响因素。方法:收集2020年1月至2021年1月河南科技大学第一附属医院接收的腹主动脉瘤经EVAR术后随访3个月且发生髂支闭塞的60例患者,纳入发生组,另收集同时期60例情况相同但未发生髂支闭塞的患者,纳入未发生组。查阅患者临床资料,统计可能影响髂支闭塞的因素,经logistic回归分析总结腹主动脉瘤患者经EVAR术后发生髂支闭塞的影响因素。结果:发生组患者在术前瘤颈条件差、髂动脉入路扭曲、术前髂动脉狭窄≥50%、髂支支架远端口径放大率>15%方面与未发生组患者比较,差异有统计学意义(P<0.05);两组患者年龄、性别、手术时间、术中出血量比较,差异无统计学意义(P>0.05);多因素logistic回归分析结果显示,患者术前瘤颈条件差、髂动脉入路扭曲大、术前髂动脉狭窄≥50%、髂支支架远端口径放大率>15%是腹主动脉瘤患者EVAR术后发生髂支闭塞的危险因素(OR>1,P<0.05)。结论:腹主动脉瘤患者经EVAR术后发生髂支闭塞受术前瘤颈条件差、髂动脉入路扭曲度大、术前髂动脉狭窄≥50%、髂支支架远端口径放大率>15%等因素影响。临床可据此提出针对性防治方案,以降低腹主动脉瘤患者EVAR术后髂支闭塞发生率。Objective To investigate the influencing factors of iliac branch occlusion in patients with abdominal aortic aneurysm after endovascular aneurysm repair(EVAR).Methods The clinical data of 60 patients with abdominal aortic aneurysm who had iliac branch occlusion after 3 months of follow-up after EVAR from January 2020 to January 2021 in the First Affiliated Hospital of Henan University of Science and Technology were collected and included in the occurrence group,the clinical data of 60 patients with abdominal aortic aneurysm who did not have iliac branch occlusion after 3 months of follow-up after EVAR during the same period were collected and included in the non-occurrence group.The clinical data of patients were reviewed,and the factors that may affect the iliac branch occlusion were counted.Logistic regression analysis was used to summarize the influencing factors of iliac branch occlusion in patients with abdominal aortic aneurysm after EVAR.Results The patients in the occurrence group were compared with the patients in the non-occurrence group in terms of poor preoperative tumor neck conditions,twisted iliac artery approach,preoperative iliac artery stenosis≥50%,and iliac branch stent distal diameter amplification rate>15%,the difference was statistically significant(P<0.05).There was no statistical significant difference in age,sex,operation time and intraoperative blood loss between the two groups(P>0.05).Multivariate logistic regression analysis showed that poor preoperative aneurysm neck conditions,large distortion of the iliac artery approach,preoperative iliac artery stenosis≥50%,and iliac branch stent distal diameter enlargement rate>15%were risk factors for iliac branch occlusion after EVAR in patients with abdominal aortic aneurysm(OR>1,P<0.05).Conclusion The occurrence of iliac branch occlusion in patients with abdominal aortic aneurysm after EVAR is affected by factors such as poor preoperative neck condition,large distortion of iliac artery approach,preoperative iliac artery stenosis≥50%,and

关 键 词：腹主动脉瘤 主动脉瘤腔内修复术 髂支闭塞 LOGISTIC回归分析 

分 类 号：R654.3[医药卫生—外科学]