Hidi László, Menyhei Gábor, Kováts Tamás, Dobai Adrienn, Szeberin Zoltán
Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Városmajor u. 68., 1122.
Klinikai Központ, Érsebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
Orv Hetil. 2015 Dec 6;156(49):1991-2002. doi: 10.1556/650.2015.30309.
The Hungarian Society for Vascular Surgery decided to analyse and publish regularly the data of the Hungarian Vascular Registry.
The aim of the authors was to present the outcome of infrarenal aortic aneurysm surgeries performed during the past five years.
Prospectively collected multicentric data obtained from the Hungarian Vascular Registry between January 1, 2010 and December 31, 2014 were analysed retrospectively. Statistical analysis was performed using Fisher's exact test and odds ratio calculation.
It was found that 16.72% of the 1435 operations were performed for ruptured aneurysms. Five institutes having the highest capacity performed 78.4% of the operations. In the ruptured aortic aneurysm group the age of patients was 71.77±9.82 years (mean±SD), and perioperative mortality was 33.75%. In the intact aortic aneurysm group the age of patients was 69.50±8.46 years and the perioperative mortality was 3.51%. In both groups perioperative mortality (ruptured: p<0,05, OR = 0.11; intact: p<0.05, OR = 0.26) and the length of hospital stay (ruptured: p<0.05, OR = 4.55; intact: p<0.001, OR = 4.27) were significantly lower in patients who had endovascular repair compared to those with open repair. In both groups perioperative mortality (ruptured: p<0.0001, OR = 0.32; intact: p<0.0001, OR = 0.23) and length of hospital stay (ruptured: p<0.05, OR = 3.16; intact: p<0.001, OR = 3.84) were significantly lower in the five institutes having the highest capacity than in the remaining institutes.
In patients having endovascular repair and in institutes with high capacity the perioperative mortality and length of hospital stay were significantly lower.
匈牙利血管外科学会决定定期分析并公布匈牙利血管登记处的数据。
作者旨在呈现过去五年中肾下腹主动脉瘤手术的结果。
对2010年1月1日至2014年12月31日期间从匈牙利血管登记处前瞻性收集的多中心数据进行回顾性分析。采用Fisher精确检验和比值比计算进行统计分析。
发现1435例手术中有16.72%是针对破裂动脉瘤进行的。手术量最大的五家机构完成了78.4%的手术。在破裂主动脉瘤组中，患者年龄为71.77±9.82岁（均值±标准差），围手术期死亡率为33.75%。在未破裂主动脉瘤组中，患者年龄为69.50±8.46岁，围手术期死亡率为3.51%。在两组中，与开放修复患者相比，接受血管腔内修复的患者围手术期死亡率（破裂组：p<0.05，比值比 = 0.11；未破裂组：p<0.05，比值比 = 0.26）和住院时间（破裂组：p<0.05，比值比 = 4.55；未破裂组：p<0.001，比值比 = 4.27）均显著降低。在两组中，手术量最大的五家机构的围手术期死亡率（破裂组：p<0.0001，比值比 = 0.32；未破裂组：p<0.0001，比值比 = 0.23）和住院时间（破裂组：p<0.05，比值比 = 3.16；未破裂组：p<0.001，比值比 = 3.84）均显著低于其余机构。
接受血管腔内修复的患者以及手术量高的机构，其围手术期死亡率和住院时间显著降低。
