术前胸部计算机断层扫描查降低了患有大动脉化风险的患者的外科手术期间中风率
Tamer Ghazy1, Maximillian Vondran2, Marc Irqsusi1
1Department of Cardiac and Thoracic-Vascular Surgery, University Hospital Gießen and Marburg, Philipps University of Marburg, 35043 Marburg, Germany.
在接受心脏手术的患者进行手术前的胸部计算机断层扫描 (CT) 查可以降低中风风险. 这种成像有助于调整外科手术策略,导致更好的患者结果和更少的中风.
科学领域:
- 心血管外科心血管外科
- 放射学 放射学是一门学科.
- 神经外科 神经外科
背景情况:
- 大动脉化在心脏外科手术患者中存在中风风险.
- 术前中风是心脏手术中的一个重要并发症.
- 在减轻这种风险方面,手术前成像的作用至关重要.
研究的目的:
- 评估术前胸部计算机断层扫描 (CT) 查对术后中风率的影响.
- 评估CT发现对风险患者手术策略的影响.
主要方法:
- 一个由129名患者组成的前性队列 (1组) 接受了非对比性胸部CT查.
- 一个261名患者的历史队列 (2组) 没有进行手术前CT查.
- 主要终点:术后中风发生. 二级终点:重新输液,住院,手术策略的改变.
主要成果:
- CT查组 (第一组) 与非CT组 (第二组) 相比,CT查组的中风率明显降低.
- 根据CT发现,对6名患者的手术策略进行了修改.
- 两组之间没有观察到重新化率或住院时间的显著差异.
- 确定了独立的中风风险因素:CT查的缺乏,晚年,大动脉/手术和回胸切除术.
结论:
- 在手术前的非对比胸部CT查有效地减少了心脏病外科手术后的中风,患有大动脉化风险的患者.
- 建议常规使用CT查,以允许手术方法的适应,并提高患者的安全.
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