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对于甲状腺封闭性疾病的开放性再血管化的时间趋势

Niroj Bhandari¹, Y H Andrew Wu², Jamie Schwartz³

¹Johns Hopkins Surgery Center for Outcomes Research, Department of Surgery, The Johns Hopkins School of Medicine, Baltimore, MD; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.

Annals of vascular surgery

|March 9, 2026

概括

动脉双绕道移植 (AOFBG) 急剧下降,而轴双绕道移植 (AXFBG) 则在甲状腺封闭性疾病中略有下降. 年龄较大,病情较重的患者越来越多地接受AXFBG,这反映了对内血管治疗的转变.

科学领域:

血管外科血管外科
外科手术的结果
医疗保健服务研究医疗服务研究

背景情况:

动脉双绕道移植 (AOFBG) 和轴绕道移植 (AXFBG) 是严重的动脉双闭塞疾病的外科选择.
从历史上看,AOFBG是黄金标准,但AXFBG是高风险患者或先前腹部手术患者的首选.
血管内干预现在是第一线的,保留AOFBG和AXFBG用于血管内衰竭后的二次治疗.

研究的目的:

分析2016年至2022年AOFBG与AXFBG程序的趋势.
了解患者的人口统计和与每个手术相关的并发症.
为了确定临床实践中对开放性甲状腺骨重建的转变.

主要方法:

对国家外科质量改善计划 (NSQIP) 数据 (2016-2022) 的回顾性分析.
描述性统计,以检查患者的人口统计,并发病症和手术频率.
后勤回归用于识别与AOFBG和AXFBG相关的因素.

主要成果:

年度AOFBG的交易量大幅下降; AXFBG的交易量下降更为温和.
AXFBG患者年龄较大 (68.3岁与61.5岁相比),吸烟,高血压,癌症,透析依赖,慢性肺炎和心血管疾病的比例较高.
在AOFBG组中,男性患者和白人患者的比例更高.

结论:

AOFBG显示了对大动脉封闭性疾病的手术重血管化比AXFBG更大的下降.
患者特征表明,AXFBG越来越多地用于老年,更生病的人.
在AOFBG的下降可能反映了在开放性大动脉手术和增加的内血管方法培训员的经验减少.

关键词:

一个aortoiliac封闭性疾病.开放式的重血管化周围动脉疾病是什么

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