孤立した三管吐症の患者における外科的結果を決定する要因
Yong-Jin Kim1, Dong-A Kwon, Hyung-Kwan Kim
1Cardiovascular Center, Seoul National University Hospital, Seoul, Korea. kimdamas@snu.ac.kr
Circulation
|October 14, 2009
まとめ
術前のヘモグロビン値と右心室の終末シストリック領域は,重度の三回転手術の結果を予測します. 早期の外科的矯正は,機能を改善し,高度な機能不全や貧血の前に適切な介入を強調します.
科学分野:
- 心臓病学 心臓病学
- 心臓外科手術について
- エコーカルディオグラフィー エコーカルディオグラフィー
背景:
- 重度の三回転 (TR) は,重大な臨床的課題を提起する.
- TR患者における手術結果の術前予測要因を特定することは極めて重要です.
研究 の 目的:
- 重度の三回嘔吐の患者における手術後の臨床結果の術前予測要因を特定する.
- 重度のTRに対する矯正手術の有効性を評価する.
主な方法:
- 矯正手術を受ける孤立した重症TR患者の61人の連続した患者の将来的な登録.
- 術前エコーカルディオグラフィでは,肺動脈の収縮圧と右心室 (RV) の寸法/機能が評価されました.
- 多変量コックス回帰とROC曲線解析により,結果予測要因が特定されました.
主要な成果:
- 術後の死亡率は10%で,患者の75%は,平均32ヶ月のフォローアップでイベントなしでした.
- 術後フォローアップでは,RVのサイズと機能の有意な改善が示され,61%が機能能力の改善を経験しました.
- 術前ヘモグロビン値とRV終末シストリック領域は,臨床結果の独立した予測指標でした.
結論:
- 重度のTRの早期の手術による矯正は,許容可能なリスクを提供し,機能能力を改善します.
- 手術は,高度なRVシストリック機能不全または貧血が発症する前に考慮する必要があります.
- 術前のヘモグロビンとRVの終末シストリック領域は,重度のTRの手術成功を予測する重要な要因です.
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