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 investigate the treatment criteria for evacuated abdominal aortic aneurysm (EVGE). Methods: The operational experience of 38 cases of EVGE was summarized, and the parameters were evaluated according to the type of complications and their influence on the tumors. RESULTS: The success rate of the operation was 94.73% and no intraoperative death occurred. One case was converted to laparotomy, 4 cases were complicated with endoleak, and 2 cases had internal thrombosis. There were 3 recent deaths after surgery, including 1 case of MOF and renal failure, and 2 cases of other causes died 1 month after surgery. The cure rate of EVGE is 86.84% and the total cure rate is 92.10%. Conclusions: The criteria for the success, cure, and failure of EVGE in immediate operations should be based on the specific effects of complications and outcomes, and the issues such as pressure in the cavity and leakage in phase II need to be discussed.