B型主动脉夹层患者TEVAR术中应用股动脉穿刺预置缝合技术与股动脉切开技术的效果对比分析  

Comparative analysis of the effect of femoral artery puncture preset suture and femoral artery incision in TEVAR patients with Type B aortic dissection

作　　者：王彦军[1] 鲍祯 Wang Yan-jun;Bao Zhen(Department of Vascular Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院血管外科,河南郑州450000

出　　处：《四川生理科学杂志》2024年第9期1920-1922,共3页

摘　　要：目的:对比在B型主动脉夹层患者胸主动脉腔内修复术(Thoracic Endovascular Aneurysm Repair,TEVAR)术中应用股动脉穿刺预置缝合技术与股动脉切开技术的效果。方法:回顾性收集2020年4月至2023年4月期间于本院血管外科行TEVAR术治疗的137例B型主动脉夹层患者的临床资料。根据手术方式不同,将患者分为切开组(采用股动脉切开术,68例)和缝合组(采用股动脉穿刺预置缝合术,69例)。分析比较两组的手术指标及康复情况、生活质量及并发症(术后住院期间)发生情况。结果:缝合组的手术时间、术后下床活动时间及住院时间均显著短于切开组,术中出血量显著少于切开组(P<0.05)。缝合组术后6 m及1 y的生活质量评分均显著高于切开组(P<0.05)。两组的术后并发症发生率无显著差异(P>0.05)。结论:与股动脉切开技术比较,EVAR术中应用股动脉穿刺预置缝合技术可缩短B型主动脉夹层患者手术时间、术后下床活动时间及住院时间,减少术中出血量,改善生活质量,且安全性较高。Objective:To compare the effect of femoral artery puncture prestitch and femoral artery incision in Thoracic Endovascular Repair(TEVAR)for patients with type B aortic dissection.Methods:The clinical data of 137 patients with type B aortic dissection who underwent TEVAR surgery in the vascular department of our hospital from April 2020 to April 2023 were retrospectively collected.According to different surgical methods,the patients were divided into incision group(femoral arteriotomy,68 cases)and suture group(femoral artery puncture presuture,69 cases).The surgical indexes,rehabilitation,quality of life and complications(during postoperative hospitalization)of the two groups were analyzed and compared.Results:The operation time,postoperative activity time and hospital stay in suture group were significantly shorter than those in incision group,and the intraoperative blood loss was significantly less than that in incision group(P<0.05).The quality of life scores of suture group at 6 months and 1 year after surgery were significantly higher than those of incision group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:Compared with femoral artery incision,the application of femoral artery puncture preset suture in EVAR can shorten the operation time,postoperative ambulation time and hospital stay of B-type aortic dissection patients,reduce the amount of intraoperative blood loss,improve the quality of life,and have higher safety.

关 键 词：B型主动脉夹层 腹主动脉瘤腔内修复术 股动脉穿刺预置缝合技术 股动脉切开术 

分 类 号：R654.3[医药卫生—外科学]