传统手术与腔内隔绝术治疗胸主动脉夹层动脉瘤围术期处理的对比研究

COMPARATIVE STUDY OF PERIOPERATIVE MANAGEMENT BETWEEN TRADITIONAL OPERATION AND ENDOVASCULAR GRAFT EXCLUSION (EVGE) FOR THORACIC AORTIC DISSECTING ANEURYSM

通过传统手术和腔内隔绝术两种术式治疗胸主动脉夹层动脉瘤围术期处理的对比研究 ,发现 :①前者患者的手术失血量明显多于后者 ;②前者手术时间、ICU滞留时间及术后住院日明显长于后者 ;③前者术中需要行单肺通气和左心转流等辅助技术 ,操作复杂 ,后者在支架放置过程中要求对血压进行快速调控 ;④术后两组血红蛋白及血小板下降和白细胞总数上升的情况相似。说明腔内隔绝术具有创伤小、恢复快的特点 。

A comparative study of perioperative management between traditional operation and endovascular graft exclusion(EVGE)for thoracic aortic dissecting aneurysms was made. The findings were as follows: ①The patients received traditional operation lost more blood than that of the latter;②The time of operating and staying in ICU as well as postoperative hospitalization of the patients received traditional operation was significantly longer than that of the latter;③Supporting technigues such as one lung ventilation and left heart bypass were needed in traditional operation which was very complicated. The latter had to rapidly adjust the patient's blood pressure while the stent was released into place. ④After operation, hemoglobin and platelet counts were reduced, and the number of white blood cells increased in each group. The results show that EVGE results in mild injury and rapid recovery which are the advantages of microinvasive operation.