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Circulation：腹部动脉瘤治疗效果的大样本临床研究

2017-08-12 MedSci MedSci原创

心血管腹部动脉瘤
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腹部动脉瘤（AAA）一旦破裂，死亡率极高。目前， AAA的发病率呈下降趋势，治疗手段也发生了改变，逐渐转向血管内动脉瘤修复（EVAR）。近日，在国际心血管权威杂志《Circulation》上发表了一篇旨在评估腹部动脉瘤治疗手段的改变对AAA预后影响的临床研究。本研究纳入了2000年至2014年芬兰所有接受AAA治疗的患者，在此期间由于接受AAA治疗而死亡的患者数据也纳入分析。在过去的50年里，AA

腹部动脉瘤（AAA）一旦破裂，死亡率极高。目前， AAA的发病率呈下降趋势，治疗手段也发生了改变，逐渐转向血管内动脉瘤修复（EVAR）。近日，在国际心血管权威杂志《Circulation》上发表了一篇旨在评估腹部动脉瘤治疗手段的改变对AAA预后影响的临床研究。本研究纳入了2000年至2014年芬兰所有接受AAA治疗的患者，在此期间由于接受AAA治疗而死亡的患者数据也纳入分析。在过去的50年里，AAA破裂每年的发病率为16.4/10万人，并在本研究期间呈下降趋势，在4949名AAA破裂患者中，超过半数死于医院外面，急诊修复治疗的30天死亡率为39.4%，完整的AAA修复术有4956例。每年接受AAA修复治疗的绝对数量在逐年增加，而EAVR也逐渐成为主流的治疗手段。AAA修复术后的30天死亡率从2000-2004年的6.3%降至2010-2014年的2.7%，这主要是由于EAVR数量的增加所致。接受EAVR治疗患者的长期死亡率要高于开放手术治疗。研究结果表明，血管内动脉瘤修复术的增加降低了腹部动脉瘤的死亡率，但是开放手术治疗也有同样的效果，另外，接受EAVR治疗的患者晚期死亡率要明显高于开

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    2017-11-07 zhzhxiang

    #样本#

    0

  2. 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    2017-10-28 jxrzshh

    #治疗效果#

    0

  3. 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    2017-08-27 虈亣靌

    继续学习中谢谢

    0

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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Mon Aug 21 19:33:40 CST 2017, time=2017-08-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233707, encodeId=5b34233e072a, content=非常棒，努力的学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo61WAV0ROeLAoicPxPKoKaogwLWLL8STv86qplbdOibN2YR4KxkJicqNectCXGR8gPJhGLc7yYLSdnpx4kaVXndTfu/0, createdBy=a6962042337, createdName=1391e9f2a7m, createdTime=Tue Aug 15 07:40:04 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233649, encodeId=159223364946, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Tue Aug 15 06:13:36 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233147, encodeId=d6d923314e14, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Aug 13 10:34:45 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233050, encodeId=3bc723305065, content=谢谢分享，学习了很好！, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好！, createdTime=Sun Aug 13 06:37:01 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232903, encodeId=3e00232903ad, content=学习了，感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sat Aug 12 16:31:25 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232846, encodeId=15bb23284645, content=学习了，涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sat Aug 12 12:12:53 CST 2017, time=2017-08-12, status=1, ipAttribution=)]
    2017-08-21 虈亣靌

    谢谢分享.学习了很好!

    0

  5. 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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好！, createdTime=Sun Aug 13 06:37:01 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232903, encodeId=3e00232903ad, content=学习了，感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sat Aug 12 16:31:25 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232846, encodeId=15bb23284645, content=学习了，涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sat Aug 12 12:12:53 CST 2017, time=2017-08-12, status=1, ipAttribution=)]
    2017-08-15 1391e9f2a7m

    非常棒，努力的学习

    0

  6. 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createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sat Aug 12 12:12:53 CST 2017, time=2017-08-12, status=1, ipAttribution=)]
    2017-08-15 往日如昨

    学习了谢谢分享

    0

  7. 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createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sat Aug 12 12:12:53 CST 2017, time=2017-08-12, status=1, ipAttribution=)]
    2017-08-13 往日如昨

    学习了谢谢分享

    0

  8. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Tue Aug 15 06:13:36 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233147, encodeId=d6d923314e14, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Aug 13 10:34:45 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233050, encodeId=3bc723305065, content=谢谢分享，学习了很好！, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好！, createdTime=Sun Aug 13 06:37:01 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232903, encodeId=3e00232903ad, content=学习了，感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sat Aug 12 16:31:25 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232846, encodeId=15bb23284645, content=学习了，涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sat Aug 12 12:12:53 CST 2017, time=2017-08-12, status=1, ipAttribution=)]
    2017-08-13 明天会更好！

    谢谢分享，学习了很好！

    0

  9. 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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好！, createdTime=Sun Aug 13 06:37:01 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232903, encodeId=3e00232903ad, content=学习了，感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sat Aug 12 16:31:25 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232846, encodeId=15bb23284645, content=学习了，涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sat Aug 12 12:12:53 CST 2017, time=2017-08-12, status=1, ipAttribution=)]
    2017-08-12 1e0f8808m18(暂无匿称)

    学习了，感谢分享。

    0

  10. 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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好！, createdTime=Sun Aug 13 06:37:01 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232903, encodeId=3e00232903ad, content=学习了，感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sat Aug 12 16:31:25 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232846, encodeId=15bb23284645, content=学习了，涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sat Aug 12 12:12:53 CST 2017, time=2017-08-12, status=1, ipAttribution=)]
    2017-08-12 1ddf0692m34(暂无匿称)

    学习了，涨知识

    0

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