“一站式”主动脉疾病个体化治疗

“One-Stop” Individualized Treatment of Aortic Disease

目的 探讨“一站式”杂交手术室在主动脉疾病个体化治疗中的作用。方法 回顾性分析我院杂交手术室2013年1月至2014年12月行主动脉疾病手术247例患者的临床资料,男193例、女54例,年龄24～83（54±12）岁。结果 行单纯腔内修复术（TEVAR/EVAR）132例,其中简单型122例,复杂型10例。个体化开窗治疗61例。杂交手术54例。围术期死亡率3.6%（9/247）,术后并发症发生率11.7%（29/247）。术后随访1年,发生术后并发症的29例患者经治疗均好转出院,随访期间死亡5例,生存率98.0%（242/247）。结论 “一站式”主动脉疾病个体化治疗的近期临床实践已经充分显示出其优越性,但还有待长期随访结果进一步证实。

Objective To evaluate the importance of ＂one-stop＂ hybrid operating room in the individualized treatment of aortic pathology. Methods We retrospectively analyzed the clinical data of 247 patients of aortic pathology who were operated in the hybrid operating room in our hospital from January 2013 through December 2014. There were 193 males and 54 females at age of 24-83（54±12） years. Results Thoracic or abdominal endovascular aortic repair（TEVAR/EVAR） was applied in 132 patients, including 122 simple patients and 10 complexes. Fenestrated TEVAR was applied in 61 patients. Hybrid operation was done in 54 patients. Perioperative death occurred in 9 patients（3.6%）. Perioperative complication rate was 11.7%（29/247）. The patients were followed up for one year. During follow-up, five patients were dead. The one-year survival rate was 98.0%（242/247）. Conclusion ＂One-stop＂ individualized treatment of aortic pathology shows its advantage, yet long-term result still needs to be followed up.