奥扎基技术与罗斯手术用于儿童复杂的大动脉疾病:一项回顾性队列研究
Guan-Xi Wang1, Sen Zhang1, Kai Ma1
1Pediatric Cardiac Surgery Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Xicheng District.
International journal of surgery (London, England)
|July 18, 2024
概括
奥扎基技术的中期耐用性比罗斯手术更差,用于儿科复杂的大动脉疾病,大动脉吐和狭窄率更高,特别是在年轻患者中.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 大动脉膜疾病 大动脉膜疾病
背景情况:
- 奥扎基技术在成年人中表现有前途,但其在患有复杂大动脉疾病的儿科患者的疗效不太清楚.
- 对于儿童的Ozaki技术,仅有有限的随访数据.
研究的目的:
- 为了比较奥扎基技术与罗斯手术在儿科患者复杂的大动脉病的中期结果.
- 为了评估中度或重度大动脉吐/术后狭窄的发生率.
主要方法:
- 一组117名儿童在2017年1月至2023年12月期间接受了奥扎基 (n=64) 或罗斯 (n=53) 手术.
- 主要终点是手术后中度或重度大动脉吐或狭窄的发生率.
- 收集和分析了中期随访数据.
主要成果:
- 与罗斯组相比,奥扎基组的中度或重度大动脉吐 (28.1%与3.1%) 和狭窄 (31.3%与5.7%) 的发病率较高.
- 在Ozaki组的5名患者 (7.8%) 需要重新手术,而在Ross组没有人.
- 较低的年龄和需要ECMO安装的需要被确定为中度或重度大动脉吐的风险因素在奥扎基组.
结论:
- 奥扎基技术可以作为小儿复杂的大动脉疾病的缓解方案.
- 然而,它的中期耐用性低于罗斯手术,特别是在年幼的儿童中.
- 需要进一步的研究来优化小儿科使用的Ozaki技术.
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