[1]张利丽,耿利娜,李佳娜,等.Stanford A型主动脉夹层术后并发症发生率Meta分析[J].陕西医学杂志,2022,51(11):1453-1457.[doi:DOI:10.3969/j.issn.1000-7377.2022.11.032]
　ZHANG Lili,GENG Lina,LI Jiana,et al.Meta-analysis of incidence of postoperative complications in Stanford type A aortic dissection[J].,2022,51(11):1453-1457.[doi:DOI:10.3969/j.issn.1000-7377.2022.11.032]
点击复制

Stanford A型主动脉夹层术后并发症发生率Meta分析
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年11期
页码:
1453-1457
栏目:
Meta分析
出版日期:
2022-11-05

文章信息/Info

Title:
Meta-analysis of incidence of postoperative complications in Stanford type A aortic dissection
作者:
张利丽1; 耿利娜2; 李佳娜1; 霍建臻1
(1.榆林市第二医院,陕西 榆林719000; 2.榆林市第一医院,陕西 榆林719000)
Author(s):
ZHANG Lili; GENG Lina; LI Jiana; HUO Jianzhen
(Yulin No.2 Hospital,Yulin 719000,China)
关键词:
急性主动脉夹层;  外科手术;  并发症;  脑功能紊乱发生率;  肾衰竭发生率;  Meta分析
Keywords:
Acute aortic dissection;  Surgery;  Complication;  Incidence of brain dysfunction;  Incidence of renal failure;  Meta-analysis
分类号:
R 543.1
DOI:
DOI:10.3969/j.issn.1000-7377.2022.11.032
文献标志码:
A
摘要:
目的:探讨Stanford A型主动脉夹层术后并发症的发生率,为术中设计以及术后干预的准备提供科学依据。方法:检索PubMed、CNKI、WANFANG DATA、CQVIP等数据库所收录的文献,应用R 4.0.2统计学软件对纳入的文献进行Meta分析。结果:纳入文献11篇,共1181例,发生并发症423例。Meta分析结果显示,急性主动脉夹层术后并发症总发生率为34.70%(95%CI:27.33%～44.06%),一过性脑功能紊乱发生率为10.58%(95%CI:7.84%～14.89%),脊髓损伤发生率为2.13%(95%CI:1.07%～3.47%),脑梗死发生率为6.23%(95%CI:3.72%～9.21%),肾衰竭发生率为7.42%(95%CI:5.28%～9.88%)。结论:主动脉夹层术后并发症发生率高、种类多,在临床路径设计上尤其应注意避开神经系统综合征和肾衰竭的相关危险因素。
Abstract:
Objective:To investigate the incidence of postoperative complications in Stanford type A aortic dissection,and to provide scientific basis for intraoperative design and preparation of postoperative intervention.Methods:The literatures included in PubMed,CNKI,WANFANG DATA,CQVIP and other databases were searched,and R version 4.0.2 was used for Meta-analysis.Results:A total of 11 literatures were included,423 cases had complications,and 1181 cases were included.Meta-analysis showed that the overall incidence of complications after acute aortic dissection was 34.70%(95%CI:27.33% to 44.06%),transient brain dysfunction was 10.58%(95%CI:7.84% to 14.89%),spinal cord injury was 2.13%(95%CI:1.07% to 3.47%),cerebral infarction was 6.23%(95%CI:3.72% to 9.21%),and renal failure was 7.42%(95%CI:5.28% to 9.88%).Conclusion:The incidence of postoperative complications in aortic dissection is high and there are many kinds.In clinical pathway design,special attention should be paid to avoid the risk factors related to neurological syndrome and renal failure.

参考文献/References:

[1] Clough RE,Nienaber CA.Management of acute aortic syndrome[J].Nat Rev Cardiol,2015,12(2):103-114.
[2] Santini F,Montalbano G,Casali G,et al.Clinical presentation is the main predictor of in-hospital death for patients with acute type A aortic dissection admitted for surgical treatment:A 25 years experience[J].Int J Cardiol,2007,115(3):305-311.
[3] Pagni S,Ganzel BL,Trivedi JR,et al.Early and midterm outcomes following surgery for acute type A aortic dissection[J].J Card Surg,2013,28(5):543-549.
[4] Owens DK,Lohr KN,Atkins D,et al.AHRQ series paper 5:Grading the strength of a body of evidence when comparing medical interventions--agency for healthcare research and quality and the effective health-care program[J].J Clin Epidemiol,2010,63(5):513-523.
[5] 罗美玲,谭红专,周 权,等.在R软件中实现单个率的Meta分析[J].循证医学,2013,13(3):181-184.
[6] 廖符鸿.Bentall+孙氏手术治疗急性主动脉夹层Stanford A3型疗效分析[D].湘潭:南华大学,2019.
[7] 申玉文.急性A型主动脉夹层改良象鼻主动脉弓置换术后并发症的临床研究[D].济南:山东大学,2019.
[8] 彭孝武.简化全弓置换加支架象鼻手术在急性Stanford A型主动脉夹层患者中的应用效果[J].河南医学研究,2020,29(12):2157-2159.
[9] 刘 华,张 军,刘 斌,等.Stanford B型主动脉夹层急性期和非急性期TEVAR的有效性和安全性比较:单中心前瞻性队列研究[J].华中科技大学学报:医学版,2020,49(3):318-322.
[10] 石 烽,王志维,吴红兵,等.杂交手术治疗Stanford A型主动脉夹层[J].实用医学杂志,2019,35(13):2175-2179.
[11] 尚 蔚,刘 楠,闫晓蕾,等.A型主动脉夹层手术后早期并发症分析[J].心肺血管病杂志,2011,30(3):183-186.
[12] 金 祺,李呈龙,樊 凡,等.急性A型主动脉夹层患者围术期血小板动态变化与预后相关性分析[J].心肺血管病杂志,2020,39(2):173-177.
[13] 刘志平,朱宪明,李淑珍,等.Stanford A型主动脉夹层外科围术期处理[J].中国体外循环杂志,2012,10(2):109-111.
[14] 张剑彬,刘治元,欧 斌,等.孙氏手术治疗急性Stanford A型主动脉夹层的临床疗效及安全性分析[J].中国心血管杂志,2019,24(4):339-342.
[15] 吴怡锦,熊卫萍,曾 嵘,等.孙氏手术治疗急、慢性Stanford A型主动脉夹层疗效的病例对照研究[J].中国胸心血管外科临床杂志,2018,25(5):401-405.
[16] 李树春,周 庆,金 珉,等.分期杂交手术治疗胸腹主动脉夹层[J].中国胸心血管外科临床杂志,2019,26(1):126-127.
[17] 李 杨,刘思奇,段维勋,等.急性主动脉夹层临床特征的分析[J].中国循证心血管医学杂志,2013,5(6):588-592.
[18] Myrmel T,Larsen M,Bartnes K.The International registry of acute aortic dissections(IRAD)experiences from the first 20 years[J].Scand Cardiovasc J,2016,50(5):329-333.
[19] 李 延,张 菲,唐亚楠,等.中国人群主动脉夹层死亡危险因素Meta分析[J].中国卫生统计,2018,35(2):262-266.
[20] 刘 扬,周小英,刘广志,等.脑梗死长期复发的部位研究[J].实用医学杂志,2017,33(7):1029-1032.
[21] Arnaoutakis GJ,Bihorac A,Martin TD,et al.RIFLE criteria for acute kidney injury in aortic arch surgery[J].J Thorac Cardiovasc Surg,2007,134(6):1554-1560.
[22] Sansone F,Morgante A,Ceresa F,et al.Prognostic implications of acute renal failure after surgery for type A acute aortic dissection[J].Aorta(Stamford),2015,3(3):91-97.
[23] Wu HB,Ma WG,Zhao HL,et al.Risk factors for continuous renal replacement therapy after surgical repair of type A aortic dissection[J].J Thorac Dis,2017,9(4):1126-1132.
[24] 姜 鑫,赵 悦,文增瑞,等.Stanford A型主动脉夹层行全弓置换术后早期死亡危险因素分析[J].中国体外循环杂志,2020,18(6):370-374.

相似文献/References:

[1]郭 华,白 洁,梁乐乐,等.胸痛血管三联合成像Meta分析*[J].陕西医学杂志,2019,(10):1402.
[2]王家林,田 伟,陈耀华,等.食管鳞状细胞癌患者术前血清纤维蛋白原水平与病理特征及预后关系探讨*[J].陕西医学杂志,2020,49(5):630.
　WANG Jialin,TIAN Wei,CHEN Yaohua,et al.Correlation between preoperative serum fibrinogen and pathological characteristics and prognosis in patients with esophageal squamous cell carcinoma[J].,2020,49(11):630.
[3]童 真,张世达△.无充气经腋窝入路腔镜手术治疗早期甲状腺肿瘤疗效及对患者免疫功能和美学效果的影响[J].陕西医学杂志,2020,49(11):1422.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.013]
　TONG Zhen,ZHANG Shida..Efficacy of non-inflatable transaxillary approach laparoscopic surgery in treatment of early thyroid neoplasms and its effect on immune function and aesthetic effect[J].,2020,49(11):1422.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.013]
[4]高海聪,张永锋,张小军,等.自制椎弓根定位器辅助下关节突外侧入路脊柱内镜技术临床应用研究[J].陕西医学杂志,2023,52(8):1019.[doi:DOI:10.3969/j.issn.1000-7377.2023.08.017]

备注/Memo

备注/Memo:
基金项目:陕西省榆林市青年人才托举项目(20210305)
更新日期/Last Update: 2022-11-09