开放手术与血管腔内主动脉弓手术生活质量比较的评估：一项初步研究。
Assessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot study.
作者信息
Lim Eric Thiam Aik, Kim Hannah S, McCombie Andrew, Laing Andrew D P, Khanafer Adib
机构信息
Department of Vascular, Endovascular and Transplant Surgery, Christchurch Hospital, Private Bag 4710, Christchurch, Canterbury, 8140, New Zealand.
Department of Surgery, University of Otago Christchurch, Christchurch, Canterbury, New Zealand.
出版信息
J Cardiothorac Surg. 2024 Dec 31;19(1):701. doi: 10.1186/s13019-024-03263-z.
BACKGROUND
Advancement in endovascular endografts have paved the way to the possibility of performing endovascular aortic arch repair in recent years. This has started to supersede the need for open aortic arch surgery. There remains a paucity of data looking into the quality of life comparison between open aortic arch surgery and endovascular aortic arch repair.
METHOD
A retrospective, observational pilot study was performed on patients who underwent endovascular inner branched aortic arch repair and open aortic arch surgery. Patients completed the RAND SF-36 questionnaire at the 6 week follow-up post-surgery. Mean score across all eight subscales were compared to the New Zealand population norm based on the New Zealand Health Survey as cited in the SoFIE-Health study.
RESULTS
A total of 12 patients were included in this study over a 3 year period. We demonstrated that endovascular aortic arch repair is associated with a better quality of life compared to open aortic arch surgery across all eight subscales. Pain scores were found to be higher than the population normal in the endovascular aortic arch repair group while the open aortic arch surgery group had a score lower than the population norm (P < 0.01).
CONCLUSION
There appears to be a trend towards better quality of life following endovascular aortic arch repair compared to open aortic arch repair.
背景
近年来，血管内移植物的进展为进行血管内主动脉弓修复创造了可能。这已开始取代开放性主动脉弓手术的需求。目前仍缺乏关于开放性主动脉弓手术和血管内主动脉弓修复后生活质量比较的数据。
方法
对接受血管内分支型主动脉弓修复和开放性主动脉弓手术的患者进行了一项回顾性观察性试点研究。患者在术后6周随访时完成了兰德36项健康调查量表（RAND SF - 36）问卷。根据SoFIE - Health研究中引用的新西兰健康调查，将所有八个分量表的平均得分与新西兰人群标准进行比较。
结果
在3年期间，本研究共纳入12例患者。我们证明，与开放性主动脉弓手术相比，血管内主动脉弓修复在所有八个分量表上均与更好的生活质量相关。发现血管内主动脉弓修复组的疼痛评分高于人群正常水平，而开放性主动脉弓手术组的评分低于人群正常水平（P < 0.01）。
结论
与开放性主动脉弓修复相比，血管内主动脉弓修复后似乎有生活质量更好的趋势。
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