92例胸主动脉瘤的外科治疗

Surgical treatment of 92 cases of thoracic aortic aneurysms]

OBJECTIVE: To explore the timing of surgical treatment of thoracic aortic aneurysms. METHODS: The clinical data of 92 patients with thoracic aortic aneurysm who underwent surgical treatment in our department during the latest 10 years were retrospectively reviewed. RESULTS: The overall operative mortality was 13.04% (12/92) 30 days after the operation. Risk factors for the early mortality were the preoperative aneurysm breach, hypertension, important organ dysfunction and circulatory arrest during the operation, as well as the serious postoperative complications, such as arrhythmia, dysfunction or failure and infection of important organ, and so on (P < 0.05-0.01). CONCLUSION: The surgical treatment is an ideal way of treatment of thoracic aortic aneurysm. To choose appropriate timing and methods for the operation, to improve skills of the operation, to shorten the time of the operation, and to protect function of important organs contribute to the increase of the successful rate of the surgical treatment of thoracic aortic aneurysm and the decrease of the incident of postoperative complications.