PDF(Pubmed)
Abstract：
BACKGROUND: Abdominal aortic aneurysm (AAA) is a life-threatening condition. Open surgery and endovascular repair are the options for treating AAA. This study aimed to compare the frequencies of in-hospital complications and outcomes in two groups of patients who underwent AAA repair surgery using either an open or an endovascular repair method.
METHODS: This retrospective study was conducted on the records of 60 patients with AAA undergoing elective surgery repair using endovascular approaches or open surgery at Razi Hospital from 2010 to 2019. Patients\' related information, including age, sex, changes in blood pressure, respiratory complications, renal complications, myocardial infarction, paraplegia, cloneischemia, lower limb ischemia, duration of hospital stay in intensive care unit and hospital, the dose of packed RBC, the dose of injectable narcotic analgesics, the need for vasopressor medication, duration of surgery, duration of postoperative oral feeding, and death during hospitalization were assessed.
RESULTS: A total of 60 patients in two groups were studied. The mean age of patients was 72.4 ± 6.28 years, and most were male (86.7%). The incidence of renal complications (3.3%) and respiratory complications (0%), rate of decrease in arterial blood oxygen saturation, length of stay in ICU (median 2 vs. 4) and hospital (median 4.5 vs. 7), the need for vasopressor injection and the dose of packed RBC (median 0.4 vs. 3.33), the dose of narcotic analgesic injection (53.3%), duration of surgery (median 2.5 vs. 3), duration of postoperative oral feeding (median 23 vs. 54), and the incidence of death were significantly lower in the endoscopic surgery group.
CONCLUSIONS: Endovascular surgery repairing the rupture of an AAA is associated with fewer postoperative complications and in-hospital death than open surgery.
METHODS: This retrospective study was conducted on the records of 60 patients with AAA undergoing elective surgery repair using endovascular approaches or open surgery at Razi Hospital from 2010 to 2019. Patients\' related information, including age, sex, changes in blood pressure, respiratory complications, renal complications, myocardial infarction, paraplegia, cloneischemia, lower limb ischemia, duration of hospital stay in intensive care unit and hospital, the dose of packed RBC, the dose of injectable narcotic analgesics, the need for vasopressor medication, duration of surgery, duration of postoperative oral feeding, and death during hospitalization were assessed.
RESULTS: A total of 60 patients in two groups were studied. The mean age of patients was 72.4 ± 6.28 years, and most were male (86.7%). The incidence of renal complications (3.3%) and respiratory complications (0%), rate of decrease in arterial blood oxygen saturation, length of stay in ICU (median 2 vs. 4) and hospital (median 4.5 vs. 7), the need for vasopressor injection and the dose of packed RBC (median 0.4 vs. 3.33), the dose of narcotic analgesic injection (53.3%), duration of surgery (median 2.5 vs. 3), duration of postoperative oral feeding (median 23 vs. 54), and the incidence of death were significantly lower in the endoscopic surgery group.
CONCLUSIONS: Endovascular surgery repairing the rupture of an AAA is associated with fewer postoperative complications and in-hospital death than open surgery.
摘要：
背景：腹主动脉瘤（AAA）是一种危及生命的疾病。开放手术和血管内修复是治疗AAA的选择。这项研究旨在比较两组使用开放式或血管内修复方法进行AAA修复手术的患者的院内并发症发生率和预后。
方法：这项回顾性研究是根据2010年至2019年在Razi医院接受择期手术修复或开放手术的60例AAA患者的记录进行的。患者相关信息，包括年龄,性别,血压的变化,呼吸系统并发症,肾脏并发症，心肌梗塞,截瘫,克隆缺血，下肢缺血,重症监护室和医院的住院时间，包装红细胞的剂量，注射麻醉性镇痛药的剂量，需要血管加压药,手术持续时间,术后口服喂养的持续时间，并评估住院期间的死亡。
结果：研究了两组共60例患者。患者平均年龄为72.4±6.28岁,大多数为男性(86.7%)。肾脏并发症（3.3%）和呼吸道并发症（0%）的发生率，动脉血氧饱和度下降率，ICU住院时间(中位数2vs.4）和医院（中位数4.5vs.7),需要注射血管加压药和包装红细胞的剂量(中位数0.4vs.3.33),麻醉性镇痛药注射液的剂量（53.3%），手术持续时间(中位数2.5vs.3),术后口服喂养的持续时间(中位数23vs.54),内镜手术组的死亡发生率明显较低。
结论：血管内手术修复AAA破裂与开放手术相比，术后并发症和院内死亡更少。
方法：这项回顾性研究是根据2010年至2019年在Razi医院接受择期手术修复或开放手术的60例AAA患者的记录进行的。患者相关信息，包括年龄,性别,血压的变化,呼吸系统并发症,肾脏并发症，心肌梗塞,截瘫,克隆缺血，下肢缺血,重症监护室和医院的住院时间，包装红细胞的剂量，注射麻醉性镇痛药的剂量，需要血管加压药,手术持续时间,术后口服喂养的持续时间，并评估住院期间的死亡。
结果：研究了两组共60例患者。患者平均年龄为72.4±6.28岁,大多数为男性(86.7%)。肾脏并发症（3.3%）和呼吸道并发症（0%）的发生率，动脉血氧饱和度下降率，ICU住院时间(中位数2vs.4）和医院（中位数4.5vs.7),需要注射血管加压药和包装红细胞的剂量(中位数0.4vs.3.33),麻醉性镇痛药注射液的剂量（53.3%），手术持续时间(中位数2.5vs.3),术后口服喂养的持续时间(中位数23vs.54),内镜手术组的死亡发生率明显较低。
结论：血管内手术修复AAA破裂与开放手术相比，术后并发症和院内死亡更少。
