Effect of endovascular repair on inflammatory factors and SF-36 scores in patients with thoracoabdominal aortic aneurysm compared with vascular replacement
Objective This article mainly studied the effect of intraoperative blood loss and postoperative rehabilitation of patients with aneurysm aortic thoracoabdominal affected by stent endovascular implantation.Methods A total of 96 pa-tients with thoracic and abdominal aortic aneurysms admitted to the vascular surgery department of our hospital from April 2019 to April 2022 were selected and grouped according to surgical methods.48 patients treated with artificial vascular replacement for aneurysms were selected as the control group,and 48 patients treated with endovascular stent implanta-tion were selected as the observation group.The indexes related to surgery,inflammatory factors,complication rate,sur-vival rate and quality of life were compared between the two groups.Results The hospitalization days,operation time,intraoperative blood loss and ICU observation time in observation group were(14.37±3.28)d,(148.18±33.99)min,(63.47±22.03)mL and(8.99±2.15)h(P＜0.05).There was no statistical significance in the levels of tumor necrosis factor(TNF-α),interleukin-6(IL-6)and C-reactive protein(CRP)in the two groups before treatment(P＞0.05).The results of observation group were(9.90±3.13)ng/L,(61.89±5.49)ng/L and(4.27±0.99)mg/L,respectively,which were lower than group control(P＜0.05).The group observation of complications incidence was 6.25％,lower than group control(16.67％)(P＜0.05).After 1 year of follow-up,there was no significant difference in survival rate between the observation group and the control group(P＞0.05).There was no significant difference in SF-36 scores between the two groups before treatment(P＞0.05).and after treatment,the two groups was improved significantly the life of score quality,and the observation group was higher than control group(P＜0.05).Conclusion Compared with vascular replacement,endovascular stent implantation can significantly improve the surgi-cal indicators of TAA patients,reduce the level of inflammatory factors,promote rehabilitation,improve the quality of life of patients,and can be extended in the long term.
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