摘要
目的： 探讨腹主动脉瘤腔内隔绝术（ＥＶＧＥ）的治疗标准。方法： 总结３８ 例ＥＶＧＥ的操作经验，根据并发症种类及其对瘤体的影响作为评判参数。结果： 操作成功率９４．７３％ ，无术中死亡。中转开腹手术１ 例，并发内漏４ 例，移植物内血栓形成２ 例。术后近期死亡３ 例，其中ＭＯＦ及肾衰各１ 例，其他原因术后２ 个月死亡１ 例。ＥＶＧＥ治愈率８６．８４％ ，总治愈率９２．１０％ 。结论： ＥＶＧＥ即时操作成功、治愈及失败的判断标准应根据有无并发症及对疾病转归的具体影响来制订，瘤腔压力、Ⅱ期内漏等问题有待讨论。
Objective:To discuss the treatment standards of endovascular graft exclusion (EVGE) for abdominal aortic aneurysms (AAA). Methods: In 38 cases of EVGE, the evaluation parameters were selected according to the complications and their effects to the aneurysms. Results: Operation success ratio was 94.73%, with no operating death and one inverted to open surgery. There were 4 cases of endoleaks and 2 thromboses. Three died shortly after deployment because of MOF(1 case), renal function failure(1 case). The curative ratio of EVGE was 86.84%, while the totally curative of AAA was 92.10%. Conclusion: EVGE curative ratio and operation failure ratio should de made according to the complications and their effects to the prognosis, the standards of operating success ratio.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1999年第11期831-833,共3页
Academic Journal of Second Military Medical University
基金
军队杰出人才基金
上海市卫生系统百人计划基金
第二军医大学长海医院"258"计划基金
关键词
主动脉瘤
腔内隔绝术
标准
腹主动脉
aortic aneurysm, abdomen
endovascular graft exclusion
standard
