摘要
目的对腹主动脉瘤患者采用腔内修复术治疗的临床疗效进行探究。方法 80例腹主动脉瘤患者作为研究对象,随机分为研究组和对照组,各40例。对照组患者采用传统开腹手术的方式进行临床治疗;研究组患者采用腔内修复术的方式进行临床治疗。对比两组患者的出血量、输血量、手术时间、住院时间、并发症发生情况及死亡情况。结果研究组患者的出血量为(108.3±38.2)ml、输血量为(25.9±6.6)ml、手术时间为(106.4±45.9)min、住院时间为(14.2±4.3)d,均优于对照组的(709.7±57.3)ml、(282.7±45.1)ml、(291.1±48.2)min、(22.3±7.5)d,差异均具有统计学意义(P<0.05)。研究组并发症发生率15.0%低于对照组的37.5%,差异具有统计学意义(χ2=5.230,P<0.05)。研究组和对照组死亡率(0 VS 2.5%)对比,差异无统计学意义(χ2=1.013,P>0.05)。结论采用腔内修复术治疗腹主动脉瘤的临床疗效显著优于传统开腹手术治疗,值得临床推广。
Objective To explore the clinical effect of abdominal aortic aneurysm patients treatedwith endovascular repair.Methods A total of80abdominal aortic aneurysm patients as study subjectswere randomly divided into research group and control group,with40cases in each group.The control groupreceived traditional open surgery for clinical treatment,and the research group received endovascular repairfor clinical treatment.Comparison were made on bleeding volume,blood transfusion volume,operation time,hospital stay time,complications and deaths in two groups.Results The research group had bleeding volume as(108.3±38.2)ml,blood transfusion volume as(25.9±6.6)ml,operation time as(106.4±45.9)min and hospitalstay time as(14.2±4.3)d,which were all better than(709.7±57.3)ml,(282.7±45.1)ml,(291.1±48.2)minand(22.3±7.5)d in the control group,and their differences had statistical significance(P<0.05).The researchgroup had lower incidence of complications as15.0%than37.5%in the control group,and the difference hadstatistical significance(χ2=5.230,P<0.05).There was no statistically significant difference in death rate(0VS2.5%)between two groups(χ2=1.013,P>0.05).Conclusion Endovascular repair had better clinical effect thantraditional open surgery for the treatment of abdominal aortic aneurysm,and it is worth clinical promotion.
作者
苗春兴
MIAO Chun-xing(Mudanjiang Medical University Second Affiliated Hospital, Mudanjiang 157009, China)
出处
《中国现代药物应用》
2017年第4期41-43,共3页
Chinese Journal of Modern Drug Application
关键词
腔内修复术
传统开腹手术
腹主动脉瘤
Endovascular repair
Traditional open surgery
Abdominal aortic aneurysm
