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| Application of open surgery and endovascular intervention in the treatment of aortic dissection and thoracic aortic aneurysm |
| Xiong Ying, Long Sizhe |
| Medical Record Department of the First Affiliated Hospital of Sun Yet Sen University, Guangzhou 510080, China |
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Abstract Objective To know the service condition of the open surgery and the intravascular endovascular interventional procedures in aortic dissection and thoracic aortic aneurysm. Methods A survey was conducted by means of the retrospective method and medical records retrieval system and all data of 447 cases were analyzed statistically. Results In ten years of surgical treatment of aortic dissection aneurysm, the proportion of open surgery accounted for 29.97% and the proportion of vascular interventional surgery accounted for 70.03%. The proportion of interventional surgery increased year by year. While in thoracic aortic aneurysm surgical treatment, the proportion of open surgery accounted for 44.44% and the proportion of vascular interventional surgery accounted for 55.56% (χ2＝6.821, P＜0.01). Interventional surgery has become the mainstream in the treatment of aortic dissection in recent years. In surgical treatment of aortic dissection, the cure rate of interventional surgery was 96%, and the cure rate of open surgery was improved by 71.03% (χ2＝45.96, P＜0.01). The cure rate of interventional surgery was significantly different from open surgery. While there was no difference in the rate of cure and improvement between interventional surgery and open surgery in treatment of thoracic aortic aneurysm (χ2＝0.125,P＞0.05). Conclusion The intravascular endovascular interventional procedures decrease the average length of stay and postoperation or preoperation length of stay, average hospitalization expenses and average drug expenses. And it increases the cure and improvement rate in aortic dissecting aneurysm.
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Received: 17 December 2016
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