主动脉瘤_腹·腔内隔绝术·老年人_80以上_

高龄腹主动脉瘤患者腔内隔绝术13例

http://www.100md.com 《中国普通现代外科进展》 2006年第4期

主动脉瘤,腹·腔内隔绝术·老年人,80以上,,主动脉瘤，腹·腔内隔绝术·老年人，80以上,1资料与方法,2结果,3讨论,参考文献

     【摘要】目的：探讨高龄患者肾动脉下腹主动脉瘤(IAAA)腔内隔绝术后并发症和死亡原因，总结治疗经验。方法：选择2001年10月~2005年12月行手术治疗的IAAA高龄患者13例(均≥80岁)，统计手术后并发症发生率和病死率总结治疗经验。结果：手术后总并发症发生率42.6%,病死率7.7%，平均住院时间为22.6d，手术后住院时间为13.5d。结论：高龄不是手术的绝对禁忌证，但病人的手术指征及治疗过程更应严格和仔细。

    【关键词】主动脉瘤，腹·腔内隔绝术·老年人，80以上

    Aortic aneurysm exclusion by endovascular stentgrafts for octogenarian patients:report of 13 cases

    CHEN Quan,JING Zaiping,BAO Junmin,ZHAO Zhiqing,FENG Xiang,LU Qingsheng

    Department of Vascular Surgery,Changhai Hospital,Second Military Medical University(Shanghai 200433,China)

    【ABSTRACT】Objective:The aim of this study is to review operative results in octogenarian patients with IAAA treated by the use of aortic stentgrafts.Methods:Between the Oct.2001 and Dec 2005,13 octogenarian patients were qualified to endovascular operations(of the average age of 82.7)in general anesthesia.In all the patients angiography was performed right after the operation to estimate the efficacy of treatment.Results:The hospitalization lasted 28.6 days on average.There were no endoleak in all patients.The mobidity and mortality is 48.2% and 7.7% respectively.Conclusion:Endovascular exclusive operation is a more appropriate way for octogenarian patients,but the patients should be selected and treated very carefully. ......

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