腹主动脉瘤腔内修复术后发生并发症的危险因素  

Risk factors for complications after endovascular aortic repair of abdominal aortic aneurysm

作　　者：王贇 蔡丹 欧敬民[1] 龚宇蓉 邱明科 Wang Yun;Cai Dan;Ou Jingmin;Gong Yurong;Qiu Mingke(Department of Interventional Vascular Surgery,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院介入血管外科,上海200092

出　　处：《血管与腔内血管外科杂志》2023年第9期1058-1062,共5页Journal of Vascular and Endovascular Surgery

基　　金：国家自然科学基金(82170402)。

摘　　要：目的 探讨腹主动脉瘤腔内修复术(EVAR)术后发生并发症的危险因素。方法 收集2017年10月至2022年10月上海交通大学医学院附属新华医院收治的93例腹主动脉瘤患者的临床资料。采用倾向匹配法根据患者的性别、年龄按1:2的比例及是否发生术后并发症将患者分为并发症组(n=31)和无并发症组(n=62)。比较两组患者的临床特征,分析腹主动脉瘤EVAR术后发生并发症的危险因素。结果 单因素分析结果显示,并发症组患者高血压、术前肝功能异常、术前肾功能异常的比例均高于无并发症组患者,术前血红蛋白水平低于无并发症组患者,差异均有统计学意义(P﹤0.05)。多因素分析结果显示,高血压、术前肝功能异常、术前肾功能异常均是腹主动脉瘤EVAR术后发生并发症的危险因素(P﹤0.05),术前血红蛋白水平偏高为腹主动脉瘤EVAR术后发生并发症的保护因素(P﹤0.05)。结论 高血压、术前肝功能异常、术前肾功能异常均是腹主动脉瘤EVAR术后发生并发症的危险因素,术前血红蛋白水平较高为腹主动脉瘤EVAR术后发生并发症的保护因素。完善术前检查并给予针对性的干预措施能够辅助降低腹主动脉瘤EVAR术后并发症的发生风险。Objective To investigate the risk factors of complications after endovascular aortic repair(EVAR)of abdominal aortic aneurysm.Method The clinical data of 93 cases patients with abdominal aortic aneurysm admitted to Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine from October 2017 to October 2022 were collected.Using the propensity matching method,patients were divided into complication group(n=31)and noncomplication group(n=62)in a 1:2 ratio based on their gender,age,and whether postoperative complications occurred.The clinical characteristics of two groups of patients was compared and the risk factors for complications after EVAR of abdominal aortic aneurysm were analyzed.Result Single factor analysis results show that the proportion of patients with a history of hypertension,abnormal preoperative liver function,and abnormal preoperative renal function in the complication group were all higher than those in the patients in the non-complication group,and the preoperative hemoglobin level was lower than that in the patients in the non-complication group,and the differences were statistically significant (P<0.05). Multivariate analysis results showed that hypertension history, abnormal preoperative liver function, and abnormal preoperative renal function were all risk factors for complications after EVAR of abdominal aortic aneurysm (P<0.05). High preoperative hemoglobin level was protective factors for complications after EVAR of abdominal aortic aneurysm (P<0.05). Conclusion Hypertension history, abnormal preoperative liver function, and abnormal preoperative renal function are all risk factors for complications after EVAR of abdominal aortic aneurysm, while high preoperative hemoglobin level is a protective factor for complications after EVAR of abdominal aortic aneurysm. Improving preoperative examination and providing targeted intervention measures would help reduce the risk of complications after EVAR for abdominal aortic aneurysm.

关 键 词：腹主动脉瘤 腔内修复术 并发症 危险因素 

分 类 号：R543.1[医药卫生—心血管疾病]