CAJ | 학술논문

目的：探讨血管内隔绝治疗胸主动脉瘤的临床效果。方法选取2009年6月至2013年5月收治的胸主动脉瘤患者48例进行分析，按照治疗方法分成观察组和对照组各24例，观察组采用血管内隔绝治疗，对照组采用开放手术治疗，观察两组手术情况、术后并发症发生率和病死率以及治疗前后生存质量评分。结果观察组手术时间、术中出血量和住院时间明显少于对照组（ P <0.05），并发症发生率和病死率明显低于对照组（ P <0.05）；两组治疗后3个月生存质量评分明显提高（ P <0.05），且观察组提高水平明显优于对照组（ P <0.05）。结论血管内隔绝治疗胸主动脉瘤手术时间短，术中出血量少，患者恢复快，并发症和病死率低，能够提高患者的生存质量，中远期疗效好，效果显著。
목적：탐토혈관내격절치료흉주동맥류적림상효과。방법선취2009년6월지2013년5월수치적흉주동맥류환자48례진행분석，안조치료방법분성관찰조화대조조각24례，관찰조채용혈관내격절치료，대조조채용개방수술치료，관찰량조수술정황、술후병발증발생솔화병사솔이급치료전후생존질량평분。결과관찰조수술시간、술중출혈량화주원시간명현소우대조조（ P <0.05），병발증발생솔화병사솔명현저우대조조（ P <0.05）；량조치료후3개월생존질량평분명현제고（ P <0.05），차관찰조제고수평명현우우대조조（ P <0.05）。결론혈관내격절치료흉주동맥류수술시간단，술중출혈량소，환자회복쾌，병발증화병사솔저，능구제고환자적생존질량，중원기료효호，효과현저。
Objective Toexploretheclinicaleffectofisolatedendovascularsurgeryintreatmentofthoracicaorticaneurysm.Methods Theclinicaldataof48patientswiththoracicaorticaneurysminthishospitalduringJune2009toMay2013wereretrospectivelyanalyzed,andthey were divided into observation group and control group according to the procedures of operation,each with 24 patients. Patients in observation group were treated by isolated endovascular surgery,patients in control group were performed with open operation,and their postoperative morbidity of complications,mortalityandscoresofqualityoflifewereassessedbeforeandaftertreatment.Results Theoperatingtime,bloodlossanddura-tion of hospitalization in observation group were significantly less than those of control group( P <0. 05),morbidity of complications and mortality were significantly lower than those of control group( P <0. 05). The scores of quality of life at 3 months after treatment had been significantly raised(P<0.05),andthedegreeofimprovementinobservationgroupwasbetterthanthatofcontrolgroup(P<0.05).Conclusion The effect of isolated endovascular surgery in treatment of thoracic aortic aneurysm is significant with shorter operating time,less blood loss,faster re-covery of patients,and low rates of complications and mortality,thus it can raise the quality of life of patients with good long-term efficacy.