[1]练诗林,吴梦涛,胡文平,等.主动脉瘤腔内修复术后综合征的危险因素分析[J].第三军医大学学报,2019,41(24):2375-2379.
 LIAN Shilin,WU Mengtao,HU Wenping,et al.Post-endovascular aortic repair syndrome: risk factor analysis of endovascular aneurysm repair[J].J Third Mil Med Univ,2019,41(24):2375-2379.
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主动脉瘤腔内修复术后综合征的危险因素分析(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第24期
页码:
2375-2379
栏目:
专题报道
出版日期:
2019-12-31

文章信息/Info

Title:
Post-endovascular aortic repair syndrome: risk factor analysis of endovascular aneurysm repair
作者:
练诗林吴梦涛胡文平宋超 陆清声
海军军医大学:基础医学院,附属长海医院血管外科; 山东大学第二医院血管外科
Author(s):
LIAN Shilin  WU Mengtao HU Wenping SONG Chao LU Qingsheng

School of Basic Medicine, Department of Vascular Surgery, Changhai Hospital, Navy Medical University, Shanghai, 200433;  Department of Vascular Surgery, Second Hospital, Shandong University, Jinan,  Shandong Province, 250000 China

关键词:
主动脉瘤腔内修复术早期不良反应危险因素
Keywords:
endovascular aneurysm repair early postoperative adverse events
分类号:
R181.32; R619; R654.3
文献标志码:
A
摘要:

目的 探讨主动脉瘤腔内修复术(endovascular aneurysm repair, EVAR)后早期不良事件的危险因素。方法 通过对1997-2014年于我院就诊的2 193例主动脉瘤患者临床资料进行回顾性研究,运用多因素Logistic回归分析出现EVAR术后早期不良事件(early postoperative adverse events, EPAE)患者的围手术期血液学指标。结果术后早期不良事件的发生率为20.8%。多因素Logistic回归分析结果显示,术后白细胞计数(OR=1.24, 95%CI:1.06-1.16,P=0.008)、血红蛋白水平(OR=0.87,95%CI:0.83-0.92, P<0.001)和血小板水平(OR=0.99,95%CI: 0.98-1.00,P=0.029)的优势比有统计学意义。结论 术后白细胞升高、血红蛋白下降和血小板下降是与EPAE相关的独立危险因素。

Abstract:

Objective To investigate the risk factors for early postoperative adverse events (EPAE) after endovascular aneurysm repair (EVAR). MethodsA total of 2 193 cases of aortic aneurysm treated in Changhai Hospitaly from 1997 to 2014 were analyzed retrospectively. The perioperative hematological variables in relation to EPAE after EVAR were analyzed. ResultsThe rate of EPAE was 20.8%. Multivariate analysis showed postoperative white cell count (OR=1.24, 95% CI: 1.06-1.16, P=0.08), hemoglobin level (OR=0.87, 95%CI: 0.83-0.92, P<0.01), and platelet level (OR=0.99, 95% CI: 0.98-1.00, P=0.029) to be independent factors associated with the EPAE. ConclusionIncreased white cell count and decreased hemoglobin and platelet levels are independent risk factors for EPAE.

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更新日期/Last Update: 2019-12-17