常规手术前查胸部计算机断层扫描用于心脏手术
Jai Ajitchandra Sule1, Xue Wei Chan1, Hari Kumar Sampath1
1Department of Cardiac, Thoracic and Vascular Surgery, National University Heart Centre, National University Health System, Singapore.
Singapore medical journal
|December 1, 2023
概括
胸部的术前查计算机断层扫描 (CT) 并没有显著影响心脏手术的结果. 在CT上大动脉结与策略变化有关,但与中风风险无关.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 在心脏手术中进行手术前评估对于优化患者的治疗结果至关重要.
- 胸部的查计算机断层扫描 (CT) 越来越多地被使用,但其在心脏手术中的特殊作用需要评估.
- 了解CT检测结果 (如大动脉结和肺气) 对手术策略和术后并发症的影响至关重要.
研究的目的:
- 评估胸部CT查在心脏手术中的作用.
- 分析CT识别的大动脉结与手术策略或术后中风变化之间的关联.
- 评估CT特征的肺气和肺炎的发展之间的关系.
主要方法:
- 在2013年1月至2017年10月期间,对392名接受心脏手术的患者进行了回顾性研究.
- 对接受手术前查CT胸部 (CT组) 与没有接受手术前查CT胸部 (无CT组) 的患者进行比较.
- 进行了多变量子组分析,以确定与术后结果的显著关联.
主要成果:
- CT组 (n=156) 年龄较大,手术前喷射率更好.
- CT识别的大动脉结与手术策略的变化有显著的相关性 (P=0.016) 但没有术后中风 (P=0.33).
- 年龄是操作策略变化的独立风险因素;可触摸的斑块显示出强烈的关联 (P<0.001). 患有CT肺瘤特征的患者没有出现肺炎.
结论:
- 胸部的常规手术前查CT并没有得到这些发现的支持,对于心脏手术来说.
- 对比CT可能对老年患者和手术规划的其他方面有好处.
- 进一步的研究可能会探索心脏手术规划中CT的具体指示.
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