Prognostic factors of surgical therapy for abdominal aortic aneurysm in the area of Tibet plateau
10.3760/cma.j.cn113855-20201230-00963
- VernacularTitle:高原地区腹主动脉瘤手术可行性及预后危险因素分析
- Author:
Lei ZHENG
1
;
Yuqing MIAO
Author Information
1. 西藏自治区人民医院普外科，拉萨 850000
- Keywords:
Aortic aneurysm, abdominal;
Vascular surgical procedures;
Prognosis;
Risk factor;
Tibet plateau
- From:
Chinese Journal of General Surgery
2021;36(9):681-683
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the feasibility of surgical therapy and the risk factors affecting prognosis for patients with abdominal aortic aneurysms in Tibetan plateau.Methods:Data of 48 abdominal aortic aneurysm cases were retrospectively analyzed at our hospital from Jun 2013 to Dec 2017.Results:Five cases received conservative treatment for suspected rupture of abdominal aortic aneurysm and all died. Eight cases left hospital without treatment, among them 5 cases died for rupture of abdominal aortic aneurysm.Thirty-five patients had abdominal aortic aneurysm resection and artificial vascular reconstruction. Successful rate was 100%. Perioperative complications developed in 5.7% patients; blood transfusion rate was 11.4%, there were non-perioperative death. Single-factor regression analysis showed that chronic altitude erythrocytosis as an independent risk factor with poor surgical prognosis ( P<0.05). Conclusion:Even in Tibet plateau, traditional surgery is a safe and effective method for treating abdominal aortic aneurysms. Chronic altitude erythrocytosis is an independent risk factor for poor surgical prognosis.
