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窗化改善了fontan手术的临床结果:一项前性随机研究
Matthew S Lemler1, William A Scott, Steven R Leonard
1Department of Pediatrics, University of Texas Southwestern Medical School, Dallas, TX 75235, USA. mlemle@childmed.dallas.tx.us
Circulation
|January 16, 2002
概括
丰田手术窗体化有利于标准风险患者,减少胸管排水,住院和需要进一步手术. 这种手术技术可以改善复杂的先天性心脏病患者的短期结果.
科学领域:
- 心脏病学 心脏病学
- 儿科手术 儿科手术
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 丰坦手术是复杂的先天性心脏病中单心室生理学的关键息手术.
- 在Fontan电路中的窗口分离脱氧血液,改善高风险患者的治疗结果,但其对标准风险患者的益处仍在争论中.
研究的目的:
- 为了前性地评估在接受Fontan手术的标准风险患者中混窗的临床实用性.
主要方法:
- 一项前性随机试验,涉及49名连续接受Fontan手术的患者 (25名患者) 或非fenestrated (24名患者).
- 这些组在年龄,身体表面积,手术前风险因素,绕道时间,大动脉交叉紧,氧和和心室形态方面是相似的.
主要成果:
- 窗户封闭的组体验到 55% 较少的胸腔管排水 (P=0.036).
- 窗户封闭组的总住院时间缩短了41% (P=0.018).
- 费内斯特的患者需要进行的额外术后手术减少了67% (P=0.006).
结论:
- 在Fontan手术期间的遮窗增强了标准风险患者的短期结果.
- 关键的改善包括减少多叶膜排水,缩短住院时间,减少对后续干预的需求.
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