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目的评价不同治疗方法对大动脉炎致主动脉瓣关闭不全的疗效和预后的影响。方法380例住院大动脉炎患者,合并中到重度主动脉瓣关闭不全38例,分为内科保守治疗和外科手术治疗两组,随访1～96个月。结果内科保守治疗22例,死亡4例,病情加重6例;手术治疗16例,死亡4例,病情加重2例。两组治疗结果差异无显著意义(P>005)。结论外科手术治疗对患者的生存并不比内科保守治疗更有益,但也可能是病例数较少,造成统计上无差异。
Objective To evaluate the effect of different treatment methods on the efficacy and prognosis of aortic valve insufficiency caused by aortitis. Methods 380 cases of hospitalized patients with aortitis, combined with moderate to severe aortic regurgitation in 38 cases, divided into two groups of conservative treatment and surgical treatment, followed up for 1 to 96 months. Results Conservative treatment of 22 cases of internal medicine, 4 patients died, the disease increased in 6 cases; surgical treatment in 16 cases, 4 patients died of exacerbations in 2 cases. There was no significant difference between the two groups (P> 005). Conclusion Surgical treatment of patients with survival is no more beneficial than conservative medical treatment, but may also be less cases, resulting in no statistical difference.