在第三级医院的心脏肌瘤手术经验
Víctor M Sánchez Sotelo1, Claudia E Velázquez Sotelo2, Nancy E Guzmán Delgado3
1Department of Cardiothoracic Surgery, UMAE, Hospital of Cardiology No. 34 ''Dr. Alfonso J. Treviño Treviño'' of the National Medical Center of the Northeast, Mexican Institute of Social Security, Mexico.
Cirugia espanola
|July 9, 2023
概括
心脏肌瘤手术是有效的,复发率低,并发症最小. 这项研究强调了这些常见良性心脏瘤的外科治疗结果,强调了彻底切除的重要性.
科学领域:
- 心血管外科心血管外科
- 心脏瘤学 心脏瘤学
- 胸部外科手术 胸部外科手术
背景情况:
- 心脏肌瘤占所有良性心脏瘤的50%.
- 临床表现范围从栓塞事件到发烧等宪法症状.
- 手术切除是心脏肌瘤的主要治疗方法.
研究的目的:
- 描述8年内心肌瘤切除手术经验和结果.
- 分析心脏肌瘤的患病率和临床特征.
- 调查患者/瘤因素和术后结果之间的潜在相关性.
主要方法:
- 在2014年至2022年间诊断的31名患者的回顾性,描述性病例系列.
- 使用描述性统计数据对人口和外科特征的分析.
- 皮尔森的相关性用于评估并发症,年龄,瘤大小和所涉及的心室之间的关系.
主要成果:
- 心脏肌瘤的患病率是心脏手术的0.44%.
- 呼吸障碍 (85%) 和脑血管事件 (18%) 是最常见的表现.
- 通过心房切除而保留足骨的手术切除导致3.2%的死亡率和77%的无事件恢复;观察到7%的复发率,与栓塞现象相关.
结论:
- 心脏肌瘤切除在该单位每年大约发生4次,总体患病率为0.44%.
- 这些发现与有关瘤特征和呈现的现有文献一致.
- 完全切除瘤底部和脚可能会减少复发,尽管需要进一步调查.
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