摘要
目的:比较经腹腔入路与腹膜外入路在解剖猪腹主动脉作为胸主动脉血管腔内隔绝术导入动脉的效果。方法:12头实验猪随机分为腹腔组和腹膜外组,每组6头,分别经腹腔入路和腹膜外入路两种方法解剖腹主动脉,并在胸主动脉腔内植入移植物。结果:两种入路均可暴露腹主动脉。腹腔组1头因肠缺血死亡,1头损伤膀胱;腹膜外组2头损伤腹膜。平均手术时间腹膜外组为(20.3±2.1)min,腹腔组为(26.2±7.6)min。术后排便时间腹膜外组为(18.8±12.4)h,腹腔组为(39.8±11.6)h。术后第3个月腹膜外组体质量为(44.4±2.4)kg,腹腔组为(39.4±1.7)kg。结论:经腹膜外入路解剖猪腹主动脉行血管腔内隔绝术手术时间更短,消化道功能恢复早,术后体质量增加明显,比经腹腔入路更为安全、有效。
Objective： To compare the effectiveness of the retroperitoneal approach and the celiac approach to dissect the abdominal aortae for the endovascular graft exclusion （EVGE） in animal experiments. Methods： Twelve pigs were divided randomly into two groups. Two kinds of approach were performed respectively and the effectiveness was analyzed. Results： Both approaches were applied to expose abdominal aorta. One pig with celiac approach died of ischemia of intestine and another one with injury of the bladder. Two cases of abdominal membrane injury happened in the group of retroperitoneal approach. The average operation time was （20.3 ±2.1） min with retroperitoneal approach and （26.2 ± 7.6） min with celiac approach. The defecation time was （18.8 ± 12.4） hours in the retroperitoneal approach group and （39.8 ±11.6） hours in the celiac approach group. The body weight in the 3rd month after procedure was （44.4 ± 2.4） kg in the retroperitoneal approach group and （39.4±1.7） kg in the celiac approach group. Conclusion： It was safe and effective for EVGE through the retroperitoneal approach.
出处
《中国现代普通外科进展》
CAS
2009年第4期330-332,共3页
Chinese Journal of Current Advances in General Surgery
基金
国家高技术研究发展计划(863计划)专项基金
关键词
主动脉
腹
腔内隔绝术
手术入路
猪
Aorta, abdominal·Endovascular exclusion·Surgical approach·Swine
