ミトラス狭窄症 (ミトラス狭窄症) とは
Y Chandrashekhar1, Stephen Westaby, Jagat Narula
1Veterans Affairs Medical Center and University of Minnesota, Minneapolis, MN 55417, USA. shekh003@umn.edu
Lancet (London, England)
|September 15, 2009
まとめ
心弁疾患の1つであるミトラル狭窄症は,世界中で重大な病気を引き起こす. バルブ領域を改善する治療は罹患率を低下させ,手術は生存率を向上させる;皮膚経由の風船弁膜整形手術は同様の利点をもたらす可能性がある.
科学分野:
- 心臓病学 心臓病学
- バルブ性心疾患 バルブ性心疾患とは
背景:
- 側頭管狭窄症は,発展途上国で一般的であり,先進国で非典型的に発生している,一般的な世界的な健康問題です.
- この状態は,世界的な病率に大きく貢献しています.
研究 の 目的:
- ミトラス狭窄症の病理学,診断,治療をレビューする.
- 外科的介入と皮膚経由的介入の比較的な利点について議論する.
主な方法:
- ミトラル狭窄病理学,診断,治療オプションに関する文献レビュー.
- 異なる治療方法に関連した罹病率と死亡率のアウトカムの分析.
主要な成果:
- ミトラル弁の面積を増加させるすべての介入は,患者の罹病率を改善します.
- 外科的介入は死亡率を向上させるが,皮膚経由の風船弁膜整形は同様の死亡率の利益をもたらす可能性があるため,さらなる調査が必要である.
- 皮膚経由の気球弁整形手術は,手術が実行不可能な場合,または高いリスクが伴う場合,最適でない弁形質を持つ患者を含む,指示された患者に好ましい治療法です.
結論:
- mitrale 狭窄症の効果的な管理は,弁の面積を増加させ,それによって罹病率を減らすことにかかっています.
- 皮膚経由の風船弁膜整形術は,手術に匹敵する潜在的な死亡率の利点を持つ主要な治療法であり,特に手術のリスクが高い場合です.
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