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目的探讨“一站式”杂交手术室在主动脉疾病个体化治疗中的作用。方法回顾性分析我院杂交手术室2013年1月至2014年12月行主动脉疾病手术247例患者的临床资料,男193例、女54例,年龄24~83(54±12)岁。结果行单纯腔内修复术(TEVAR/EVAR)132例,其中简单型122例,复杂型10例。个体化开窗治疗61例。杂交手术54例。围术期死亡率3.6%(9/247),术后并发症发生率11.7%(29/247)。术后随访1年,发生术后并发症的29例患者经治疗均好转出院,随访期间死亡5例,生存率98.0%(242/247)。结论 “一站式”主动脉疾病个体化治疗的近期临床实践已经充分显示出其优越性,但还有待长期随访结果进一步证实。
Objective To explore the role of “one-stop” hybrid operating room in the individualized treatment of aortic diseases. Methods The clinical data of 247 patients who underwent aortic disease surgery from January 2013 to December 2014 in our hybrid operating room were retrospectively analyzed. There were 193 males and 54 females, aged from 54 to 12 years old. Results There were 132 cases of simple endovascular repair (TEVAR / EVAR), of which 122 were simple and 10 were complicated. 61 cases of individual window treatment. Hybrid surgery in 54 cases. The perioperative mortality rate was 3.6% (9/247) and the postoperative complication rate was 11.7% (29/247). After one year of follow-up, 29 patients with postoperative complications were discharged after treatment. Five patients died during follow-up, with a survival rate of 98.0% (242/247). Conclusion The recent clinical practice of “one-stop” aortic disease individualized treatment has fully demonstrated its superiority, but it has yet to be further confirmed by long-term follow-up results.