患有恶性心周溢血的患者的最佳管理:成像指导性心周培养和手术心周窗口之间的比较研究
Abdul Baqi1, Intisar Ahmed1, Pirbhat Shams1
1Section of Cardiology, Department of Medicine, Aga Khan University, Karachi, Pakistan.
Journal of clinical and translational research
|July 17, 2023
概括
恶性心周溢液的管理具有挑战性. 手术心周窗的复发率低于心周切割,但出血风险更高. 这两种手术都显示出相似的死亡率.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
背景情况:
- 恶性心周溢出复杂化了癌症的治疗,提出了一个管理困境.
- 恶性心周溢液的最佳治疗策略仍在研究中.
研究的目的:
- 为了比较30天的成像指导性心脏膜切割与手术心脏膜窗口的结果,用于恶性心脏膜溢出.
- 评估程序的成功,复发率和与每个管理方法相关的并发症.
主要方法:
- 对71名患有恶性心周溢血的患者进行了回顾性观察性研究.
- 图像导向心脉造术和手术心脏窗口手术的比较.
- 对30天结果的分析,包括成功率,死亡率,住院时间和复发情况.
主要成果:
- 整体过程成功率为97.2%,死亡率为5.6%.
- 周心窗与更长的住院时间 (p=0.007) 和更高的出血风险相关.
- 与心周窗口 (p<0.001) 相比,心周穿显示出明显更高的再积累率 (34%).
结论:
- 隔离性心周有较高的恶性心周溢出复发率.
- 手术心周窗可能是复发性出血的更好的选择,尽管出血风险增加.
- 需要进一步的试验来澄清这两种程序的长期结果.
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