叶片切除与带置换对退行性 mitrale 吐的结果
Jae Woong Choi1, Muath Bishawi2, Brittany Zwischenberger2
1Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina; Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
The Annals of thoracic surgery
|August 5, 2024
概括
叶片切除 (RESECT) 提供了更好的长期耐用性,对于退行性部吐的修复,而不是带置换 (CHORD). 然而,CHORD提高了整体维修率,尽管耐用性略低,为10年.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术的结果
- 中心门维修 维修中心门
背景情况:
- 退行性额回 (DMR) 修复结果进行了辩论.
- 叶片切除 (RESECT) 和带置换 (CHORD) 是主要的外科手术技术.
- 对DMR进行RESECT和CHORD的比较对于临床决策至关重要.
研究的目的:
- 为了比较RESECT与CHORD技术对DMR的早期和晚期结果.
- 为了评估两种 mitralia 修复方法的有效性和耐用性.
主要方法:
- 分析了1066名连续接受DMR关节修复的患者.
- 倾向性得分匹配用于比较RESECT和CHORD结果.
- 分析了467名匹配患者的队列,以比较结果.
主要成果:
- 主要在2010年之后采用的CHORD技术显著提高了整体维修率 (83%至91%).
- 在RESECT组的匹配患者中,经过10年重新手术的发生率较低 (1% vs 8%) 和严重吐 (1% vs 9%).
- 两组之间10年生存率相似 (86%±3%与84%±4%对比).
结论:
- 与RESECT相比,CHORD技术增加了额头骨修复率,但在10年后的耐用性略低.
- 在长期内,RESECT技术显示出优越的维修耐用性.
- 观察到的差异可能归因于CHORD组疾病的复杂性.
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