作为阻塞性多变性心肌病的辅助程序,关叶片缩短是阻塞性多变性心肌病的辅助程序
Daniel G Swistel1, Daniele Massera2, Alexandra Stepanovic2
1Department of Cardiothoracic Surgery, NYU School of Medicine, New York, New York.
The Annals of thoracic surgery
|March 22, 2024
概括
在高性心肌病 (HCM) 患者中,与肌肉切除术相结合的 mitrale 叶片缩短显示出相似的存活率和心声图结果,与单独的肌肉切除术相比. 这表明,缩短传单是选择性HCM患者的安全有效补充.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医学研究 医学研究
背景情况:
- mitrale 叶片延长在高伤心肌病 (HCM) 中很常见,使手术目标复杂化.
- 在肌肉切除术期间缩短前额头叶片是一种有争议的辅助手术.
研究的目的:
- 为了比较肌肉切除术的结果与同时缩短肌肉叶片的结果与单独的肌肉切除术在HCM患者中.
- 为了评估不断发展的关节缩短技术的安全性和有效性 (plication vs. ReLex).
主要方法:
- 对416名经过肌肉切除术的患者 (2010-2020年) 的回顾性研究.
- 患者接受肌肉切除术与关节缩短和接受肌肉切除术单独的患者之间的结局的比较.
- 对存活率和心声回声数据的分析,包括不断发展的 mitrale 缩短技术.
主要成果:
- 住院死亡率为0.7%.
- 在8年后,两组的累积存活率为95% (肌肉切除术与叶片缩短 vs 单独肌肉切除术),没有显著差异.
- 2.5年后的心声图显示,两组之间渐变,额头直流和左心房体积的减少相似.
结论:
- mitrale 缩短是选择的HCM患者的一个适当的外科考虑.
- 这项研究支持使用额头骨叶片缩短作为肌切除术的辅助.
- 在叶片缩短技术之间没有观察到生存或心声回声结果的显著差异.
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