Tanabe T, Hashimoto M, Sakai K, Yasuda K, Matsunami O, Sakuma M, Gohda T, Goh K, Matsui Y, Shimizu M
Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Int Angiol. 1987 Jul-Sep;6(3):233-42.
Treatment of various aortic aneurysms in 450 cases experienced during the past 25 years was analysed. One hundred and five patients were treated with survival rate of 80.2% in the thoracic aortic aneurysm group, 65 patients with survival rate of 76.9% in the dissected aneurysm of the aorta group, 175 patients with survival rate of 93.1% in the nonruptured abdominal aortic aneurysm group and 37 patients with survival rate of 75.7% in the ruptured abdominal aortic aneurysm group. From 1981 to the present time, considerable improvement of the operative results has been achieved with refinement of cardiovascular adjunctive techniques and operative procedures with careful management of the patients. Survival rates are now reached to 88.7% in the thoracic aortic aneurysm, 81.0% in the dissected aneurysm, 100% in the nonruptured abdominal aortic aneurysm and 81.2% in the ruptured abdominal aortic aneurysm. From the careful analyses of the results, prompt diagnosis, distinct treatment policy, strict operative indication and better surgical procedure are considered to have contributed to these excellent operative results.
分析了过去25年中所经历的450例各种主动脉瘤的治疗情况。105例胸主动脉瘤患者接受了治疗，该组生存率为80.2%；65例主动脉夹层动脉瘤患者，该组生存率为76.9%；175例未破裂腹主动脉瘤患者，该组生存率为93.1%；37例破裂腹主动脉瘤患者，该组生存率为75.7%。从1981年至今，随着心血管辅助技术和手术操作的改进以及对患者的精心管理，手术效果有了显著改善。目前，胸主动脉瘤的生存率达到88.7%，主动脉夹层动脉瘤为81.0%，未破裂腹主动脉瘤为100%，破裂腹主动脉瘤为81.2%。通过对结果的仔细分析，认为及时诊断、明确的治疗策略、严格的手术指征和更好的手术操作促成了这些优异的手术效果。
