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在手术修复和未手术的儿童中,儿科血管环结局:单中心体验

Houdaïfa Ajdaa¹, Karlien Carbonez², Jelena Hubrechts²

¹Department of Cardiovascular and Thoracic Surgery, Université Catholique de Louvain (UCLouvain)-Cliniques Universitaires Saint-Luc, Brussels, Belgium.

Journal of thoracic disease

|June 17, 2024

概括

大多数血管环患者有症状,需要及时进行手术修复. 虽然手术改善了结果,但24%的人仍然有症状,通常是由于喘,这凸显了全面管理的必要性.

科学领域:

儿童心脏病学儿童心脏病学
生产性心血管异常生产性心血管异常
胸部外科手术胸部外科手术

背景情况:

血管环是一种罕见的先天性心血管异常 (1%的病例).
症状范围从无症状到严重的食道或气管压缩.
尽管产前诊断的增加,对无症状婴儿的最佳管理仍在争论中.

研究的目的:

为了回顾三十年来在管理血管环的经验.
分析症状和无症状患者手术修复的结果.

主要方法:

在82名患者的单一中心回顾性研究中.
从医疗记录,儿科诊所笔记和问卷中收集的数据.
通过心声回声,吞和CT扫描进行诊断.

主要成果:

69%的患者有症状,出现呼吸或食问题.
在96%的患者中进行了手术修复,没有死亡率.
18%的患者经历了轻微的并发症;24%的患者在手术后仍然有症状.

结论:

血管环,特别是导致压缩的血管环,需要及时干预.
虽然手术是有效的,但某些患者的长期症状仍然存在.
无症状病例的早期手术修复显示出较低的发病率,支持目前的建议.

关键词:

遗传性心脏病 (CHD) 是一种先天性心脏病.迟到的结果.进行手术治疗治疗.气管食道管道的压缩.血管环血管环血管环

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