腹主动脉瘤腔内修复术植入物后综合征13例分析

ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM REPAIR: ANALYSIS OF POST-IMPLANTATION SYNDROME IN 13 CASES

目的观察腹主动脉瘤腔内修复术(EVAR)后病人体温、白细胞、血小板、C反应蛋白的变化,分析EVAR术后与植入物后综合征(PIS)相关的临床因素。方法行EVAR腹主动脉瘤病人50例,术后第1天采集外周静脉血标本,观察病人体温、白细胞、血小板、C反应蛋白的变化。结果 50例病人中,术后13例(26%)发生PIS。术后PIS组病人体温、白细胞、血小板、C反应蛋白水平与非PIS组比较,差异有显著性(t=-1.905～6.828,P<0.05)。结论 PIS为腹主动脉瘤病人EVAR术后一种较常见的并发症,其主要特点表现为系统性炎症反应。

Objective To observe the changes of the temperature, white blood cell count, platelet count, and C-reactive protein in patients who underwent EVAR for abdominal aortic aneurysms （AAA）, and analyse the factors of EVAR that associated with post implantation syndrome （PIS）. Methods EVAR was performed in 50 patients for AAA. The temperature and white blood cell count, platelet count and C-reactive protein were detected in specimens taken from peripheral venous blood, before and on the first day after surgery. Results Of the 50 patients, PIS was recorded in 13 （26%） after EVAR. The differences of post operative temperature, white blood cell count, platelet count, and C reactive protein between PIS and non-PIS were significant （t=1.905-6. 828,P〈0.05）. Conclusion PIS is a commonly seen post-EVAR complication, the main manifestation being sys- temic inflammatory reaction.