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首页> 外文期刊>Journal of endovascular therapy: an official journal of the International Society of Endovascular Specialists >Early and late functional outcome assessments following endovascular and open aneurysm repair.
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Early and late functional outcome assessments following endovascular and open aneurysm repair.

机译：血管内和开放性动脉瘤修复后的早期和晚期功能预后评估。

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Purpose: To compare early and late functional outcomes, as well as survival and recovery, following endovascular or open repair of abdominal aortic aneurysm (AAA). Methods: Between 1996 and 2000, 294 patients underwent AAA repair (141 open and 153 endovascular); 57 patients from each group had 12-month follow-up for functional outcome assessment. Recovery was measured as hospital length of stay, skilled nursing requirement, and hospital readmission within 1 year to determine cumulative hospital utilization. Early (<6 months) functional outcomes were measured by activity level and convalescence days following surgery. Late (>6 months) functional outcomes were measured as ambulation, independent living, and employment status pre- and postoperatively. Results: Operative mortality for open repair was 5 (3.5%) compared to 1 (0.6%) after an endovascular procedure (p<0.05). The endovascular group had a shorter hospital stay (2.8+/-2.8 versus 8.3+/-4.5 days) and fewer skilled nursing requirements (0% versus 26%; p<0.001). Cumulative hospital utilization over 12 months was 3.8 days for endovascular patients and 13.8 days for open repair (p<0.001). Recovery time was 99.3+/-84.1 days (range 14-365) in conventionally treated patients and 32.1+/-43.5 days (range 7-180) in the stent-graft group (p<0.001). At 6 months, 43 (75%) open and 54 (95%) endovascular patients had full recovery (p<0.01). Activity levels decreased in 13 (23%) open and 3 (5%) endovascular patients after surgery (p<0.01). There were no differences in ambulation, independent living, or employment status before and after treatment. Conclusions: Periprocedural survival following aneurysm repair is improved with endovascular grafting compared to open surgery, and recovery is more rapid, with a 78% reduction in total hospital days. Early functional outcomes are markedly improved with endovascular repair, while there is no difference in late functional outcomes between the procedures.
机译：目的：比较腹主动脉瘤（AAA）的血管内或开放修复后的早期和晚期功能结局以及生存和恢复。方法：1996年至2000年，对294例AAA进行了AAA修复（141例开放，153例行血管内治疗）。每组57例患者进行了为期12个月的随访，以评估功能结局。康复程度以住院时间，熟练的护理要求和一年内的住院率来衡量，以确定累积的医院利用率。早期（<6个月）的功能预后通过手术后的活动水平和恢复期来衡量。晚期（> 6个月）的功能性结局通过手术前后的步行，独立生活和就业状况进行衡量。结果：进行腔内修复的手术死亡率为5（3.5％），而进行血管内手术后为1（0.6％）（p <0.05）。血管内组的住院时间更短（2.8 +/- 2.8天对8.3 +/- 4.5天），熟练的护理需求更少（0％对26％; p <0.001）。血管内患者在12个月内累计使用医院为3.8天，开放式修复为13.8天（p <0.001）。常规治疗患者的恢复时间为99.3 +/- 84.1天（范围14-365），而支架移植组的恢复时间为32.1 +/- 43.5天（范围7-180）（p <0.001）。在6个月时，有43名（75％）开放患者和54名（95％）血管内患者已完全恢复（p <0.01）。术后13例（23％）开放血管内患者和3例（5％）血管内患者活动水平降低（p <0.01）。治疗前后的行走，独立生活或就业状况均无差异。结论：与开放手术相比，使用血管内移植术可改善动脉瘤修复后的围手术期生存，并且恢复更快，总住院天数减少78％。血管内修复可显着改善早期功能结局，而两次手术之间的晚期功能结局无差异。

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