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目的评估在胸-腹主动脉瘤患者的治疗中双血管缝合器和手术切开2种入路方式的手术安全性和治疗效果。方法 2010年1月至2014年1月在大庆油田总医院住院并且接受介入治疗的患者50例,其中男性27例,女性23例,年龄为37~84岁,平均年龄为(58.21±11.95)岁。根据入路方式分为缝合器组和手术切开组,各25例。比较2组患者非支架置入步骤的手术持续时间,观察止血时间、下床走动的时间和并发症。结果比较手术切开组非支架置入步骤的手术持续时间和缝合器组非支架置入步骤的手术持续时间,(82.0±20.0)min vs(9.0±2.0)min,P<0.001,差异具有统计学意义;2组间下床走动时间比较,3 d vs 4~6 h,P<0.001,差异具有统计学意义;临床随访时间为1个月,均无手术伤口相关并发症发生。结论双血管缝合器在胸-腹主动脉瘤治疗中应用的安全性优于手术切开组,缩短了止血时间和下床走动时间。
Objective To assess the safety and efficacy of two approaches to biopsy and surgical approach in the treatment of thoracic-abdominal aortic aneurysm. Methods From January 2010 to January 2014, 50 patients were hospitalized in Daqing Oilfield General Hospital and received interventional therapy. There were 27 males and 23 females, aged from 37 to 84 with an average age of (58.21 ± 11.95) years . According to the approach is divided into stapler group and surgical incision group, 25 cases each. The duration of surgery, the time to go to bed, and the complications during ambulation were compared between two groups. Results The operative duration of the non-stent placement procedure in the surgical incision group and the non-stent placement procedure in the stapler group were (82.0 ± 20.0) min vs (9.0 ± 2.0) min, P <0.001. The differences were statistically significant There was no significant difference between the two groups in walking ambulation time, 3 d vs 4 ~ 6 h, P <0.001, the difference was statistically significant; the clinical follow-up time was 1 month. Conclusions The safety of bi-vascular stapler in the treatment of thoraco-abdominal aortic aneurysm is better than that of surgical incision group, which shortens the time of hemostasis and ambulation.