摘要
目的对比完全穿刺技术和传统腔内修复术治疗腹主动脉瘤的效果及安全性。方法回顾性分析2019年1月至2023年1月收治的102例腹主动脉瘤患者病例资料,根据腔内修复方式不同分为对照组(传统腔内修复术治疗,n=51例)和实验组(完全穿刺技术治疗,n=51例)。数据采用SPSS 25.0软件分析,手术相关指标和围手术期指标等计量资料以(x±s)表示,行独立样本t检验;并发症、生存率等计数资料用[例(%)]表示,行χ^(2)检验;绘制Kaplan-Meier生存曲线分析腹主动脉瘤患者的生存结局。以P<0.05为差异有统计学意义。结果与对照组比较,实验组患者手术时间更短、术中出血量更少、术后下地活动时间和住院时间更短(P<0.05);实验组患者穿刺点血肿、内漏等并发症发生率低于对照组(P<0.05)。两组患者随访6个月的生存状况比较,差异无统计学意义(P>0.05)。结论相较于传统腔内修复术,完全穿刺技术行腔内修复术在缩短手术时间、减少术中出血量、减少并发症方面的优势更为明显,且有助于促进患者术后恢复,但这两种术式治疗腹主动脉瘤的近期疗效相当。
Objective To compare the efficacy and safety of complete puncture and traditional endovascular repair in the treatment of abdominal aortic aneurysm.Methods Clinical data of 102 patients with abdominal aortic aneurysm admitted from January 2019 to January 2023 were retrospectively analyzed,and divided into control group(traditional endovascular repair treatment,n=51 cases)and experimental group(complete puncture treatment,n=51 cases)according to different endovascular repair methods.SPSS 25.0 software was used to analyze the data.Measurement data such as operation-related indicators and perioperative indicators were expressed as(x±s),and independent sample t test was performed.The statistical data of complications and survival rate were expressed by[cases(%)]andχ^(2) test was performed.Kaplan-Meier survival curve was drawn to analyze the survival outcomes of patients with abdominal aortic aneurysm.P<0.05 was considered to be statistically significant.Results Compared with the control group,the experimental group had shorter operation duration,less intraoperative blood loss,shorter postoperative activity time and shorter hospital stay(P<0.05).The incidence of complications such as puncture point hematoma and internal leakage in experimental group was lower than that in control group(P<0.05).There was no significant difference in survival status between the two groups after 6 months of follow-up(P>0.05).Conclusion Compared with traditional endovascular repair,endovascular repair with complete puncture technology has more obvious advantages in shortening operation time,reducing intraoperative blood loss and reducing complications,and is helpful to promote postoperative recovery of patients.However,the short-term efficacy of the two operations in the treatment of abdominal aortic aneurysm is comparable.
作者
刘涵
邹逸帆
乔彤
Liu Han;Zou Yifan;Qiao Tong(Department of Vascular Surgery,Second Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu Province 210000,China;Department of Anesthesiology,Second Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu Province 210000,China;Department of Vascular Surgery,Gulou Clinical Medical College,Nanjing Medical University,Nanjing Jiangsu Province 210000,China)
出处
《中华普外科手术学杂志（电子版）》
2024年第2期176-179,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
2022年度江苏省卫生健康委员会项目(LSD2022011)。
关键词
主动脉瘤
腹
腔内修复术
完全穿刺技术
出血
手术后并发症
Aortic Aneurysm,Abdominal
Endovascular Repair
Complete Puncture Technique
Hemorrhage
Postoperative Complications
