CAJ | 학술논문

目的：由于各种影响腹主动脉瘤（AAA）腔内修复术后（EVAR）瘤腔大小的因素仍不清楚。作者将腹主动脉瘤瘤腔直径在腔内修复术（EVAR）手术一年后的CT图像与术前直径进行比较。方法接受EVAR的患者根据腹主动脉治疗后病变的大小变化，分为以下三组：收缩（缩小>6mm）组，扩大（扩张>6mm）组，无变化（6mm内的改变）组。收集包括患者的背景，实验室数据，使用的设备，药物，解剖特点，以及存在/不存在术后内漏进行检测。结果68例患者中23例被排除。收缩组17例患者，无变化组28例患者，同时趋于显示AAA瘤腔的收缩与较高的术前AAA血栓面积率呈现正相关（P=0.05）。本资料中无其他变量影响瘤腔大小的变化。此外，内漏的存在表明瘤腔收缩的干扰。结论较高的AAA血栓面积率常与AAA瘤腔收缩相关联。
목적：유우각충영향복주동맥류（AAA）강내수복술후（EVAR）류강대소적인소잉불청초。작자장복주동맥류류강직경재강내수복술（EVAR）수술일년후적CT도상여술전직경진행비교。방법접수EVAR적환자근거복주동맥치료후병변적대소변화，분위이하삼조：수축（축소>6mm）조，확대（확장>6mm）조，무변화（6mm내적개변）조。수집포괄환자적배경，실험실수거，사용적설비，약물，해부특점，이급존재/불존재술후내루진행검측。결과68례환자중23례피배제。수축조17례환자，무변화조28례환자，동시추우현시AAA류강적수축여교고적술전AAA혈전면적솔정현정상관（P=0.05）。본자료중무기타변량영향류강대소적변화。차외，내루적존재표명류강수축적간우。결론교고적AAA혈전면적솔상여AAA류강수축상관련。
Objective Due to the various effects of abdominal aortic aneurysm(AAA) after endovascular aneurysm cavity size(EVAR) factors are still unclear. We will compare the abdominal aneurysm cavity diameter in operation one year after the CT images with EVAR preoperative.Methods Patients undergoing EVAR at the The Affiliated Drum Tower Hospital Of Nanjing University Medical School were included in this study. According to the change of size in the aortic treatment of lesions, the patients were divided into the following three groups: systolic(decreased more than 6 mm) group, expand(expansion of more than 6 mm) group, no change(within 6 mm of the change) group. The collection included the patient's background, laboratory data, the use of equipment, medicine, anatomy,and the presence / absence of leakage within.Results Of the 68 patients, 23 were excluded. 17 patients in group 28 patients were included in the contract, no change in group, none of the patients included in the extended group. At the same time tends to display AAA aneurysm cavity contraction and high preoperative AAA thrombus area rate showed a positive correlation(P=0.05). No other variables in the study of dimensional changes. In addition, internal leakage that indicates the presence of interference aneurysm cavity contraction.Conclusion the higher AAA rate of thrombus area often associated with AAA tumor shrinkage cavity.