mitra 门手术现在可以经常通过内镜进行
Filip P Casselman1, Sam Van Slycke, Francis Wellens
1Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Moorselbaan 164, 9300 Aalst, Belgium. Filip.Casselman@olvz-aalst.be
Circulation
|September 13, 2003
概括
最少入侵的内镜 mitra 门手术提供安全有效的治疗,高患者满意度. 这种方法需要学习曲线,但现在是孤立心房门疾病的标准.
科学领域:
- 心血管外科心血管外科
- 最少侵入性的技术
- 膜心脏疾病 膜心脏疾病
背景情况:
- 越来越多的人对最小侵入性心脏手术技术感兴趣.
- 内镜 mitra 门手术 (MVS) 是传统开放心脏手术的新兴替代方案.
- 专注于改善患者的治疗结果和减少外科手术的侵入性.
研究的目的:
- 为了评估内镜 mitra 门手术的安全性和有效性.
- 评估患者的满意度和长期结果.
- 为了确定这种方法对于孤立的心室门疾病的可行性.
主要方法:
- 在1997年至2002年期间,对306名接受内镜MVS (心心门修复或更换) 的患者进行了回顾性分析.
- 卡普兰-梅尔和考克斯回归分析的生存率和复手率.
- 随访包括临床评估,心声回声和患者报告的结果.
主要成果:
- 在98%的患者中,手术成功;医院死亡率为1%.
- 主要疾病包括重新探索 (8.5%),新的心房动 (17.0%) 和心脏起器植入 (2.3%).
- 四年无需重新手术的情况为91%;报告的患者满意度高,93%愿意再次接受手术.
结论:
- 内镜 mitra 门手术对于被选中的患者来说是一种安全有效的选择.
- 与该程序相关的是一个显著的学习曲线.
- 患者的高满意度和良好的长期结果支持其作为孤立心房门疾病的专属方法的使用.
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