女性腹主动脉瘤破裂手术修复的策略管理和结果：系统回顾和荟萃分析

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2025-05-01 DOI:10.1016/j.ciresp.2024.11.019

Del Río-Solá M.ª Lourdes , Romero-Estrella M.ª Rosario , Roedan-Oliver Joan , Asensio-Rodriguez Sergio , Pérez-Fernández Sandra , Rial-Horcajo Rodrigo

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引用次数: 0

摘要

腹主动脉瘤破裂（R-AAA）的修复具有很高的死亡率。本研究旨在分析术后预后的差异。方法对8项研究共26 473例患者进行荟萃分析，通过比较开放手术修复与血管内修复的30天死亡率，并按性别对结果进行分层。结果30天死亡率女性为23.0%，男性为13.0%，优势比（OR）为2.05。女性术后并发症发生率较高，如卒中（6.0%比4.0%）和肾功能衰竭（8.0%比5.0%），ICU住院时间延长（12.3±6.4天比10.2±5.7天）。结论：这些发现强调了调整手术入路对改善R-AAA女性预后的重要性。建议继续进行前瞻性研究以优化治疗方案。

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Strategic management and outcomes of surgical repair for ruptured abdominal aortic aneurysms in women: a systematic review and meta-analysis

Introduction

The repair of ruptured abdominal aortic aneurysms (R-AAA) entails high mortality. This study aims to analyze differences in postoperative outcomes.

Methods

A meta-analysis was conducted of 8 studies involving 26 473 patients, evaluating 30-day mortality rates by comparing open surgical repair with endovascular repair and stratifying results by sex.

Results

The 30-day mortality rate was 23.0% in women versus 13.0% in men, with an odds ratio (OR) of 2.05. Women had higher rates of postoperative complications, such as stroke (6.0% vs. 4.0%) and renal failure (8.0% vs. 5.0%), as well as prolonged ICU stay (12.3 ± 6.4 days vs. 10.2 ± 5.7 days).

Conclusion

These findings highlight the importance of adjusting surgical approaches to improve outcomes in women with R-AAA. Continued prospective studies are recommended to optimize treatment protocols.

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.