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费洛特四分法:跨门和右心室补丁同样影响晚期功能状态
Y d'Udekem1, C Ovaert, F Grandjean
1Division of Cardiovascular Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Circulation
|November 18, 2000
概括
与其他方法相比,在Fallot修复的四分法中,跨管补丁不会导致更糟糕的长期结果. 跨管补丁和右心室补丁都会导致类似的肺衰竭和右心室扩张率.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 跨环状补丁是一种用于法洛修复四重法术的手术技术.
- 有关其与晚期右心室扩张的关联存在担忧.
研究的目的:
- 为了确定不利的长期结果的预测因素,特别是右心室扩张,Fallot修复的四分法之后.
- 为了比较不同右心室修复技术的长期功能结果.
主要方法:
- 在1964年至1984年期间,对191名患者进行了四重法洛修复的回顾性分析.
- 研究结果包括心脏死亡,右心室扩张的重新手术,以及使用考克斯回归的NYHA类.
- 基于手术技术的结果进行比较:跨管补丁,右心室内瘤补丁关闭和直接右心室内瘤关闭.
主要成果:
- 右心室补丁 (跨门或其他) 是晚期不良事件最重要的预测因素.
- 与补丁相比,直接关闭右腹腔切除术会导致较小的末端透气心室尺寸和较不严重的肺衰竭.
- 在跨管补丁和右心室补丁之间,在晚期结果,右心室大小或严重的肺衰竭中没有明显的差异.
结论:
- 在Fallote的四分法中,跨管补丁不会产生比仅限于右心室的补丁更糟糕的晚期功能结果.
- 跨管补丁和右心室补丁都与可比的长期肺衰竭和右心室扩张有关.
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