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肾下型腹主动脉瘤腔内隔绝术与传统手术对肾功能影响的比较研究
引用本文:冯睿,景在平,包俊敏,赵志青,冯翔,赵珺. 肾下型腹主动脉瘤腔内隔绝术与传统手术对肾功能影响的比较研究[J]. 中国现代普通外科进展, 2003, 6(2): 106-108
作者姓名:冯睿  景在平  包俊敏  赵志青  冯翔  赵珺
作者单位:全军血管外科研究所,第二军医大学附属长海医院血管外科,上海,200433
基金项目:全军杰出人才基金资助项目 (98J0 0 5 ),上海市卫生系统百人计划基金资助项目 (97BR0 47),上海市长海医院学科攀登计划基金资助项目
摘    要:目的:对比肾下型腹主动脉瘤腔内隔绝术(EVGE)与传统手术(CS)对肾功能的影响。方法:回顾1997年3月至2002年3月间实施的157例肾下型腹主动脉瘤手术,其中EVGE组115例,CS组42要饭,分析比较二组手术前后血肌酐,血尿素氮的变化情况。结果:CS组术后血肌酐,血尿素氮较术前明显升高,并发生急性肾衰1例,而EVGE组手术前后两指标无显差异。结论:EVGE对肾下型腹主动瘤癌患肾功能的影响明显小于CS。

关 键 词:主动脉瘤 腹 腔内隔绝术 血尿素氮 肌酸酐
文章编号:1009-9905(2003)02-0106-03
修稿时间:2002-07-29

Comparative study on the effects of conventional surgery and endovascular graft exclusion on renal function of the patients with infrarenal abdonominal aortic aneurysms
FENG Rui,JING Zai-ping,BAO Jun-min,ZHAO Zhi-qing,FENG Xiang,ZHAO Jun Institute of Vascular Surgery of PLA. Comparative study on the effects of conventional surgery and endovascular graft exclusion on renal function of the patients with infrarenal abdonominal aortic aneurysms[J]. Chinese Journal of Current Advances in General Surgery, 2003, 6(2): 106-108
Authors:FENG Rui  JING Zai-ping  BAO Jun-min  ZHAO Zhi-qing  FENG Xiang  ZHAO Jun Institute of Vascular Surgery of PLA
Affiliation:FENG Rui,JING Zai-ping,BAO Jun-min,ZHAO Zhi-qing,FENG Xiang,ZHAO Jun Institute of Vascular Surgery of PLA,Department of Vascular Surgery,Changhai Hospital,The Second Military Medical University
Abstract:Objective:To assess and compare the effects on renal function after endovascular graft exclusion(EVGE) and conventional surgery(CS) for infrarenal abdominal aortic aneurysms(IAAA).Methods:The records of 157 consecutive patients with IAAA from 1997 to 2002 were retrospectively reviewed.There was a group of 115 patients undergoing EVGE and a group of 42 patients undergoing CS.The postoperative changes of plasma Cr and BUN with EVGE and CS were analyzed respectively and compared.Results:While the plasma Cr and BUN significantly increased in the group of CS postoperatively,moreover,there was a case with acute renal failure in CS group,no significant difference between per- and post- endovascular repair was discovered in the group of EVGE.Conclusion:The effect of EVGE on renal function of the patients with IAAA is much less than CS.
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