八十岁以上高龄腹主动脉瘤患者的外科治疗

目的探讨八十岁以上高龄腹主动脉瘤患者的传统手术及腔内治疗的疗效。方法回顾性分析20例年龄在80～90岁腹主动脉瘤患者的外科治疗经验,其中12例接受传统手术,8例行腔内治疗。结果20例患者围手术期有2例死亡,均为手术组患者。腔内组的手术及术后并发症情况均显著优于手术组。随访3～69个月,2例手术组患者失访,手术组和腔内组各有2例远期死亡。手术组和腔内组的累计生存率分别为6／10和6／8。结论对于八十岁以上高龄腹主动脉瘤患者的外科治疗可行,在合适病例首选腔内治疗。

Surgical treatment of abdominal aortic aneurysms in octogenarians

Objective To evaluate the open surgery as well as the endovascular treatment of abdominal aortic aneurysms (AAA) in octogenarians. Methods Twenty AAA cases aging from 80 to 90 in the past six years were reviewed. Open surgery on 12 patients and endovascular repair on the other 8 ones were performed. Results During peri-operation, there were 2 mortality from the surgical group among all 20 cases. The endovascular group underwent significantly better operational procedure and complication situation than the surgical one. Eighteen cases were followed up for 3-69 months (average months) except for 2 patients of surgical group. Both group suffered 2 late mortality. The accumulated survival rate were 6/10 in the surgical group and 6/8 in the endovascular group, respectively. Conclusion Surgical treatment in applicable for octogenarians with AAA. The endovascular repair was preferable to suitable cases.