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在婴儿和儿童中进行腹腔整形手术
P C Frommelt1, F M Lupinetti, E L Bove
1Department of Pediatrics, University of Michigan Medical Center, Ann Arbor 48109-0344.
Circulation
|November 1, 1992
概括
动脉心腔整形 (AVP) 是一种低风险,有效的手术,适用于患有复杂左心室外流通道阻塞或大动脉无能为力的婴儿和儿童. 这项研究显示,AVP后的生存率良好,没有显著的残留问题.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 遗传性心脏病是一种先天性心脏病.
- 门心脏手术 门心脏手术
背景情况:
- 在患有复杂的左心室外流通道阻塞 (LVOTO) 或大动脉无能 (AI) 的儿科患者中,大动脉置换可能受到环形大小的限制.
- 当标准假肢尺寸不足时,可能需要动脉腔整形术 (AVP).
研究的目的:
- 评估AVP在儿科患者的安全性和有效性.
- 评估婴儿和幼儿需要AVP的复杂LVOTO或AI的结果.
主要方法:
- 在1986年5月至1991年4月期间接受AVP的19名儿科患者的回顾性审查.
- 在门插入之前,手术涉及对圆环和隔膜的补丁扩大.
- 在15名患者中使用机械门,在4名患者中使用异位移植.
主要成果:
- 该研究包括19名患者,其中13名年龄小于5岁.
- 医院死亡率为16% (3例死亡),没有晚期死亡.
- 一个月及以上的精算生存率为84%,平均随访时间为2.5年.
- 并发症不常见,没有患者有显著的残留LVOTO或AI.
结论:
- 在婴儿和幼儿中,AVP可以在低风险的情况下进行.
- 在儿科患者中,AVP是复杂的LVOTO或AI的有效手术选择.
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