胸腹主动脉瘤腔内覆膜支架置入术对患者术中出血量和术后康复的影响
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右江医学 2019 年第 47 卷第 5 期 Chinese Youjiang Medical Journal 2019,Vol.47 No.5
胸腹主动脉瘤腔内覆膜支架置入术对患者 术中岀血量和术后康复的影响
宁宇，陈军，冯震
(广西玉林市第一人民医院心胸血管外科，玉林537000)
【摘要】目的 探讨胸腹主动脉瘤腔内覆膜支架置入术的应用效果。方法 选取2016年1月至2018年11月治疗 的胸腹主动脉瘤患者82例，根据治疗方案不同分为观察组(灶= 46)和对照组(灶= 36)，观察组给予腔内覆膜支架置入 术,对照组给予动脉瘤人造血管置换术,比较两组手术时间、术中岀血量等,同时检测并比较两组患者手术前后IL-6、 CRP和TNF-琢水平的差异。结果 观察组和对照组在术中岀血量、手术时间、入住ICU时间和住院时间方面比较， 观察组少于对照组，差异均有统计学意义(P<0.001)；但观察组住院费用高于对照组，差异有统计学意义(P<0.001)； 两组在术后并发症、生存率方面亦存在差异,但差异无统计学意义(P>0.05) 遥观察组术后1周IL-6、CRP和TNF-琢 的水平明显低于对照组(P<0.001)遥结论胸腹主动脉瘤腔内覆膜支架置入术有较好的效果，具有创伤小、失血少、 恢复快等优点，值得进一步推广。
揖关键词】胸腹主动脉瘤;腔内覆膜支架献标志码：A
D0I：10.3969/j .issn.1003-1383.2019.05.009
Effect of endovascular stent placement for thoracoabdominal aortic aneurysm on postoperative blood flow and postoperative recovery
NING Yu, CHEN Jun,FENG Zhen
(Department of Cardiothoracic Vascular Surgery, The First People' 泽 Hospital of Yulin, Yulin 537000, China)
揖 Abstract] Objective To investigate the effect of endovascular stent placement for thoracoabdominal aortic aneurysms. Methods 82 patients with thoracoabdominal aortic aneurysm treated in hospital from January 2016 to November 2018 were selected and divided into observation group ( n = 46) and control group ( n =36) according to different treatment plans.The ob servation group were treated with endovascular stent implantation， while the control group were treated with artificial blood vessel replacement for aneurysms. And then，operation time and intraoperative bleeding volume were compared，and the levels of IL-6,CRP and TNF-琢 before and after operation were measured and compared between the two groups at the same time. Results The bleeding volume, operation time, ICU stay time and hospitalization time in the observation group were less than those in the control group,difference was statistically significant( P<0.001) .But the cost of hospitalization in the observation group was higher than that in the control group， difference was statistically significant( P< 0. 001 ) . There were differences in postoperative complications and survival rates between the two groups, but difference was not statistically significant ( P > 0. 05) .One week after operation, the levels of IL-6, CRP and TNF-琢 in the observation group were significantly lower than those in the control group( P<0.001).Conclusion Endovascular stent implantation for thoracoabdominal aortic aneurysms has good effect. It has the advantages of less trauma，less blood loss and faster recovery，which is worthy of further populariza tion.
右江医学 2019 年第 47 卷第 5 期 Chinese Youjiang Medical Journal 2019,Vol.47 No.5
胸腹主动脉瘤腔内覆膜支架置入术对患者 术中岀血量和术后康复的影响
宁宇，陈军，冯震
(广西玉林市第一人民医院心胸血管外科，玉林537000)
【摘要】目的 探讨胸腹主动脉瘤腔内覆膜支架置入术的应用效果。方法 选取2016年1月至2018年11月治疗 的胸腹主动脉瘤患者82例，根据治疗方案不同分为观察组(灶= 46)和对照组(灶= 36)，观察组给予腔内覆膜支架置入 术,对照组给予动脉瘤人造血管置换术,比较两组手术时间、术中岀血量等,同时检测并比较两组患者手术前后IL-6、 CRP和TNF-琢水平的差异。结果 观察组和对照组在术中岀血量、手术时间、入住ICU时间和住院时间方面比较， 观察组少于对照组，差异均有统计学意义(P<0.001)；但观察组住院费用高于对照组，差异有统计学意义(P<0.001)； 两组在术后并发症、生存率方面亦存在差异,但差异无统计学意义(P>0.05) 遥观察组术后1周IL-6、CRP和TNF-琢 的水平明显低于对照组(P<0.001)遥结论胸腹主动脉瘤腔内覆膜支架置入术有较好的效果，具有创伤小、失血少、 恢复快等优点，值得进一步推广。
揖关键词】胸腹主动脉瘤;腔内覆膜支架献标志码：A
D0I：10.3969/j .issn.1003-1383.2019.05.009
Effect of endovascular stent placement for thoracoabdominal aortic aneurysm on postoperative blood flow and postoperative recovery
NING Yu, CHEN Jun,FENG Zhen
(Department of Cardiothoracic Vascular Surgery, The First People' 泽 Hospital of Yulin, Yulin 537000, China)
揖 Abstract] Objective To investigate the effect of endovascular stent placement for thoracoabdominal aortic aneurysms. Methods 82 patients with thoracoabdominal aortic aneurysm treated in hospital from January 2016 to November 2018 were selected and divided into observation group ( n = 46) and control group ( n =36) according to different treatment plans.The ob servation group were treated with endovascular stent implantation， while the control group were treated with artificial blood vessel replacement for aneurysms. And then，operation time and intraoperative bleeding volume were compared，and the levels of IL-6,CRP and TNF-琢 before and after operation were measured and compared between the two groups at the same time. Results The bleeding volume, operation time, ICU stay time and hospitalization time in the observation group were less than those in the control group,difference was statistically significant( P<0.001) .But the cost of hospitalization in the observation group was higher than that in the control group， difference was statistically significant( P< 0. 001 ) . There were differences in postoperative complications and survival rates between the two groups, but difference was not statistically significant ( P > 0. 05) .One week after operation, the levels of IL-6, CRP and TNF-琢 in the observation group were significantly lower than those in the control group( P<0.001).Conclusion Endovascular stent implantation for thoracoabdominal aortic aneurysms has good effect. It has the advantages of less trauma，less blood loss and faster recovery，which is worthy of further populariza tion.