摘要
目的评估经皮穿刺股动脉路径,实施主动脉腔内隔绝术的可行性及安全性。方法回顾性分析广东省人民医院2006年1月至2013年1月间所有DeBakeyⅢ型主动脉夹层行主动脉腔内隔绝术的患者的临床资料,按照穿刺股动脉方法不同,分为两组:传统外科手术分离并直视下穿刺组(A组)共201例;经皮穿刺组(B组)共407例。比较两组手术成功率;手术部位伤口处理时间;术中及术后并发症及术后住院时间等。结果与A组相比,B组手术时间由(106±21)min缩短至(78±19)min,差异有统计学意义(P<0.001);伤口处理时间由(31±9)min缩短至(13+5)min,差异有统计学意义(P<0.001);住院时间由(7±3)d减少到(5±2)d,差异有统计学意义(P<0.001);伤口并发症由12.9%减少为1.7%,差异有统计学意义(P<0.001)。结论主动脉腔内隔绝术采用经皮穿刺方法是安全可行的,对比传统方法有明显优势,值得临床推广。
Objectives To evaluate the feasibility and safety of endovascular repair from percutaneous femoral artery puncture path.Methods From January 2006 to January 2013,retrospective data were analyzed,which included all the patients with DeBakey type Ⅲ thoracic aortic dissection undergoing thoracic endovascular aortic repair （TEVAR） in Guangdong General Hospital.According to the difference of femoral artery puncture,all the patients were divided into two groups.There were 201 patients in group A,who underwent the traditional surgical operational separation and direct puncture of the femoral artery.The other 407 cases were in group B,who were percutaneous puncture of the femoral artery.The analysis date included the success rate of procedure,the wound treatment duration in operated site,preoperative complications and duration of hospitalization etc.Results Compared with group A,the operation duration in group B was significantly shorten from （106±21） min to （78±19） min （P＜0.001）; the processing duration was significantly shorten from （31±9） min to （13＋5） min （P＜0.001）; the duration of hospitalization was significantly shorten from （7±3） days to （5±2） days （P＜0.001） ; and the wound complications decreased from 12.9％ to 1.7％ （P＜ 0.001）.Conclusions Within the procedure of TEVAR,by the path of percutaneous puncture of the femoral artery is safe and feasible.Compared with the traditional method,it has obvious advantages,and is worth the clinical promotion.
出处
《岭南心血管病杂志》
2014年第1期63-64,81,共3页
South China Journal of Cardiovascular Diseases
基金
广东省科技项目(项目编号:A2010042)
关键词
胸主动脉
腔内修复
经皮穿刺
股动脉
thoracic aorta
endovascular repair
percutaneous
femoral artery
