开腹和腔内治疗腹主动脉真、假性动脉瘤的比较研究

A Comparative Study on Open and Endovascular Treatment of Abdominal Aortic Aneurysm and Pseudoaneurysm

目的探讨开腹和腔内手术治疗腹主动脉真、假性动脉瘤的安全性及可靠性。方法回顾性分析2004年1月~2015年12月中国人民解放军163医院收治的78例腹主动脉真、假性动脉瘤开腹及腔内手术治疗的临床资料,根据手术方式分为开腹组46例和腔内组32例。结果腔内组除了费用明显高于开腹组外,在手术时间、术中出血量、输血量和住院时间上均明显优于开腹组(P<0.05)。术后随访未见明显并发症。结论开腹手术和腔内手术均是治疗腹主动脉真、假动脉瘤安全、有效的方法,具体方法需根据患者的具体情况而定。

Objective To explore the safety and reliability of the treatment of abdominal aortic aneurysm and pseudoaneurysm with open or endovascular surgery. Methods There were 78 cases of abdominal aortic aneurysm and pseudoaneurysm undergone surgery( with 46 open and 32 endovascular) in the 163 th Hospital of Chinese PLA from January 2014 to December 2015. And their data was retrospectively analyzed. Results The indexes of the endovascular group were much better than that of the open group( P < 0. 05) except the medical cost. All the cases were cured except 1 case died of cardiac infarction in the open group. There was no complications within 2 years of follow-up. Conclusion It is safe and reliable in both open and endovascular treatment of abdominal aortic aneurysm and pseudoaneurysm. The individualized therapy is recommended according to the patient's condition.