腹主动脉瘤开放手术与腔内治疗效果的比较

目的比较腹主动脉瘤开放手术与腔内治疗的疗效及安全性。方法回顾性分析腹主动脉瘤患者98例临床资料。开放手术治疗30例,其中择期手术22例、急症手术8例;腔内隔绝术治疗68例,均为择期手术。结果开放手术组死亡1例,术后心力衰竭2例、术后急性心肌梗死1例、呼吸衰竭2例、急性肾衰竭2例。腔内组死亡1例,术后呼吸衰竭1例、脑梗死1例。结论开放手术适于年轻、合并症少及无法行腔内修复术的患者。腔内治疗以其安全、微创、术后恢复快等优点已成为发展趋势。

Compared with efficacy between conventional open repair and endovascular repair for abdominal aortic aneurysm

Objective To compared with efficacy and safety between conventional open repair and endovascular repair for abdominal aortic aneurysm. Methods Retrospective analysis of clinical data of 98 patients with abdominal aortic aneurysm. Thirty cases of AAA were treated by conventional open repair. Twenty two cases were elective surgery. There were 8 cases of them with emergency operation because of ruptured aneurysms. There were 68 patients with endovascular repair. All cases were elective surgery. Results There was 1 death in the 30 cases of open repair. There was 1 death in the 68 cases of endovascular repair. Perioperative complications included heart failure in 2 eases, respiratory failure in 2, acute myocardial infarction in 1, acute renal failure in 2 after conventional open repair and respiratory failure in 1, cerebral infarction in 1 after endovascular repair. Conclusion The conventional open repair suitable for young, less complications and improperness in patients of prosthesis and the endovascular repair has been the trend due to the advantages of safety, less trauma and less disturbance of internal environment.