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腹主动脉瘤腔内隔绝术治疗标准的初步探讨 预览 被引量:8

Preliminary study on the treatment standards of endovascular graft exclusion for abdominal aortic aneurysms
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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原影响作为评判参数。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 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.
作者 景在平 赵珺 Jing Zaiping, Zhao Jun, Zhao Zhiqing, Bao Junmin, Xu Bin, Zhou Yingqi (Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai, 200433)
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
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