通过右侧微型胸腔切除术进行最小侵入性手术,以治疗中枢感染性内心炎:禁忌或安全可行?
Maximilian Franz1, Khalil Aburahma1, Fabio Ius1
1Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany.
Journal of clinical medicine
|July 27, 2024
概括
对感染性内心炎的患者来说,最少的侵入性 mitra 门手术是安全的. 这种方法提供了与其他最少侵入性的 mitra 门手术相似的结果,证明了可行性和安全性.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 最少侵入性手术的方法
背景情况:
- 中心感染性内心炎 (IE) 具有显著的死亡风险.
- 微创性关手术 (MIMVS) 在技术上要求很高,尤其对IE患者来说.
- 对IE与其他适应症的MIMVS的比较结果需要评估.
研究的目的:
- 为了比较接受MIMVS治疗中膜内心炎 (IE组) 的患者的早期术后结果与其他适应症 (非IE组) 的患者.
- 评估MIMVS在传染性内心炎的情况下的可行性和安全性.
主要方法:
- 从2011年1月到2023年9月的数据的回顾性审查.
- 两个患者组:IE组 (n=75) 和非IE组 (n=862).
- 术后30天的观察期.
主要成果:
- IE组患者较年轻,在手术前有较多的中风和神经症状.
- 整体手术时间,心肺绕道时间或大动脉紧时间没有显著差异.
- 输血小组对红细胞输血的需求较高,但在重复手术,出血,中风,透析,输管,败血症,心脏起器植入,伤口愈合或30天死亡率方面没有差异.
结论:
- 至少侵入性的 mitra 门手术是对患有 mitra 门内心炎的患者来说可行的和安全的选择.
- 传染性内心炎不应成为追求微创性 mitrale 手术的禁忌.
- 与非IE患者相比,MIMVS为IE患者提供了可比的早期术后结果.
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