Objective: To study clinical effect of endovascular stent-graft exclusion in aged patients with thoracoabdominal aortic aneurysm. Methods: The data of 25 aged patients (age ^65 years old) with thoracoabdominal aortic aneurysm undergoing endovascular stent-graft exclusion treatment from Feb 2004 to Jul 2011 in our hospital were retrospectively analyzed. The effect of surgery, complications after surgery and mortality rate was summarized. Results: A total of 24 cases (96%) were discharged from hospital after recovery. Incidence rates of complications after operation and mortality rate were 24% (6/25) and 4% (1/25) respectively. Average stay was (14. 36 ±2. 46) d and admission time after operation was (9. 50±l. 58) d. Conclusion: Endovascular stent-graft exclusion treatment can be used as an prefer method of thoracoabdominal treatment in aged patients, but indications for operation should be confident strictly.%目的:探讨主动脉腔内隔绝术治疗高龄患者胸腹动脉瘤的临床效果.方法:回顾性分析我院2004年2月至2011年7月25例实行覆膜支架腔内隔绝术的高龄胸腹主动脉瘤患者(年龄均≥65岁)的临床资料,总结手术效果,术后并发症和死亡率.结果:24例(96％)康复出院,术后并发症发生率24％ (6/25),病死率4％ (1/25),平均住院时间为(14.36±2.46)d,术后住院时间为(9.50±1.58)d.结论:覆膜支架腔内隔绝术可作为治疗高龄主动脉瘤首选方式,但须严格把握手术指征.
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