主动脉腔内隔绝术对主动脉夹层患者生活质量影响的长效研究

Long-term Study on the Effect of Endoaortic Isolation on Quality of Life in Patients with Aortic Dissection

目的:探讨主动脉腔内隔绝术对主动脉夹层患者生活质量影响的长效研究。方法:回顾性选择2016.7-2021.12月来我院诊治的主动脉夹层患者83例。根据手术方式不同,分为A组与B组,A组行常规开放式手术治疗,B组行主动脉腔内隔绝术治疗,对比两组的手术成功率、围术期指标、及平均随访时间、出院30 d的病死率、生活质量评分。结果:B组患者的死亡率低于A组,P>0.05;A组的平均住院时间、平均住院费用、平均药费明显较B组高,P<0.05。A组出院30 d的病死率明显较B组高(P<0.05)。术后2年,两组生活质量评分明显升高,且B组明显较A组高(P<0.05)。结论:主动脉腔内隔绝术治疗主动脉夹层长期疗效显著,病死率较低,术后2年患者的随访结果较好。

Objective:To investigate the effect of endoaortic isolation on quality of life in patients with aortic dissection.Methods:Retrospective selection of 83 patients with aortic dissection who came to our hospital for diagnosis and treatment from July 2016 to December 2021.According to different surgical methods,the patients were divided into Group A and Group B.Group A underwent conventional open surgery,and Group B underwent endovascular aortic dissection.The surgical success rate,perioperative indicators,average follow-up time,30 day mortality rate,and quality of life score were compared between the two groups.Results:The mortality rate of patients in group B was lower than that in group A,P>0.05;the average length of hospital stay,average hospitalization cost,and average medication cost in group A were significantly higher than those in group B,P<0.05.The mortality rate of patients in group A at 30 days after discharge was significantly higher than that in group B(P<0.05).Two years after surgery,the quality of life scores of both groups significantly increased,and group B was significantly higher than group A(P<0.05).Conclusion:Endoaortic isolation in the treatment of aortic dissection has significant long-term efficacy,low mortality,and good follow-up results at 2 years after surgery.