mitra 门修复在活跃内心炎的长期结果
Rachid Zegdi1, Mohamed Debièche, Christian Latrémouille
1René Descartes University, Paris, France.
Circulation
|May 4, 2005
概括
使用卡蒂尔技术治疗活跃内心炎的中枢修复显示出出色的长期结果. 这种手术方法提供了高生存率和低重复手术率,大多数患者保持良好的功能.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 心脏门维修 心脏门维修
背景情况:
- 在活跃内心炎中,米特拉修复的长期结果在很大程度上是未知的.
- 之前的研究报告了可行性,但缺乏长期结果数据.
研究的目的:
- 为了评估对活跃内心炎的 mitra 门修复的长期疗效和安全性.
- 为了评估存活率,重新操作率,以及修复后的功能状态.
主要方法:
- 追溯对37名患者进行的回顾,这些患者接受了使用卡蒂尔技术进行活跃内心炎 (1989-1994年) 的 mitra 门修复.
- 详细分析修复技术,相关程序,早期并发症和长期结果.
- 评估包括生存率,额头膜重新操作,功能状态 (NYHA类),以及对额头气的心声评估.
主要成果:
- 10年生存率为80%,其中91%的患者无需进行中枢重置手术.
- 96%的患者在10年后处于良好的功能状态 (NYHA I-II类).
- 92%的人在心声回声图上没有或微不足道的腹;内心炎的复发率很低 (3%).
结论:
- 使用卡蒂尔技术在活跃内心炎中修复心交膜,可以获得非常好的长期结果.
- 该程序与内心炎复发和重新手术的低率有关.
- 这种方法为患有需要米特拉干预的活跃内心炎的患者提供了持久的解决方案.
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