十年的手术经验,有165个上升大动脉和大动脉的动脉瘤

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A C Galloway¹, S B Colvin, C L LaMendola

¹Department of Surgery, New York University Medical Center, NY 10016.

|September 1, 1989

概括

上升大动脉和大动脉动脉瘤的手术技术得到了改进,医院死亡率从17.9%降至12.3%. 尽管复杂的病例,但像移植包容和循环停止这样的进步提高了结果.

科学领域:

心血管外科心血管外科
胸部外科手术胸部外科手术
血管外科血管外科

背景情况:

上升大动脉和大动脉的动脉瘤带来了重大的外科手术挑战.
在1978年至1988年期间治疗的165名患者的回顾性分析.

研究的目的:

分析上升大动脉和大动脉动脉瘤的手术结果.
确定外科手术技术的趋势和改进及其对死亡率和发病率的影响.

主要方法:

165名因上升大动脉和大动脉动脉瘤接受手术的患者的回顾性审查.
病因分析,同时进行的手术,手术技巧 (移植,循环停止,血管修复) 和结果 (死亡率,中风).

主要成果:

在研究期间,尽管病例复杂性增加,但医院死亡率从17.9%降至12.3%.
根据手术的不同,手术死亡率有所不同:上升大动脉修复 (7.6%),管修复 (5.3%),开放式大动脉修复 (8.8%),广泛的门/下降大动脉修复 (30.8%).
年龄和动脉瘤延伸到下降大动脉或大动脉的参与是增加手术风险的重要预测因素. 脑卒中发生率为2.4%.

结论:

手术技术的显著进步,包括移植和循环停止,改善了大动脉动脉瘤修复的结果.
尽管复杂性越来越高,但手术死亡率有所下降,这凸显了不断发展的外科手术策略的有效性.
动脉瘤延伸和患者年龄是影响大动脉动脉瘤修复手术风险的关键因素.

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