在成功的三门双化中对三门和右腔室尺寸的早期影响
Gintarė Bieliauskienė1, Ieva Kažukauskienė1, Vilius Janušauskas1
1Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21, 03101 Vilnius, Lithuania.
Journal of clinical medicine
|June 28, 2023
概括
三管双化显著减少三管环和右心室尺寸. 然而,小册子连接保持不变,3D食道横断心声测量比手术前的3D胸口横断心声更大.
科学领域:
- 心血管外科心血管外科
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 心脏成像 - - 心脏成像
背景情况:
- 为了成功的手术双化,三环 (TA) 减小的最佳程度尚不清楚.
- 在手术前和后评估TA和右心室尺寸至关重要.
- 需要比较TA评估的不同心声回声学模式.
研究的目的:
- 为了评估手术双化前后的三环 (TA) 和右心室尺寸.
- 为了比较通过不同的成像方式获得的TA参数.
主要方法:
- 对40名患者进行前性研究,这些患者接受了带有或没有三管 (TV) 双管化手术.
- 术前和术后TA测量使用2D和3D跨胸心回声学 (TTE).
- 在手术室进行手术前的过食道心声扫描 (TOE).
主要成果:
- 双体化后的2D和3D电视和右腔体尺寸显著减少.
- 电视传单连接参数没有显著变化.
- 手术前3DTTE测量比手术内3DTOE小;2D测量低估了TA大小.
结论:
- 三巴双化将电视面积减少三分之一,但不会改变传单连接.
- 电视的手术内3D TOE测量比手术前3D TTE大.
- 传统的二维心声回声学不足以评估最大的TA直径.
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