WONCA研究論文摘要匯編_腹主動脈瘤血管內(nèi)修復(fù)與開放修復(fù)的對照研

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15、l Metformin in obstet-ric and gynecologic practice: a review J. Obstet Gynecol Surv,2004, 59 (2): 118-127.       【摘要】背景有關(guān)腹主動脈瘤血管內(nèi)修復(fù)與開放修復(fù)對照研究報道很少。方法本研究將英國37家醫(yī)院19992004年1 252例大腹主動脈瘤(直徑5·5 cm)患者隨機分組:血管內(nèi)修復(fù)組和開放修復(fù)組,每組626例患者。跟蹤至2009年末,觀察患者的死亡、移植相關(guān)并發(fā)癥、再干預(yù)發(fā)生率和資源使用情況,采用邏輯回歸和COX回歸法比較兩組結(jié)果。結(jié)果30 d手術(shù)死亡率:血管內(nèi)修復(fù)組為1·8%,開放修復(fù)組為4·3%;與開放修復(fù)組比較,血管內(nèi)修復(fù)組校正優(yōu)勢比為0·39, 95%CI (0·18, 0·87),P=0·02。關(guān)于動脈瘤相關(guān)死亡率,血管內(nèi)修復(fù)組有早期獲益,但研究末期獲益丟失,部分原因為致命性腔內(nèi)移植物破裂校正危害比=0·92, 95% CI (0·57, 1·49),P=0·73。跟蹤末期,兩組全因死亡率比較差