优化对二次三管吐的环选择:身体尺寸的作用
Yoshikazu Ono1, Shin Yajima1, Satoshi Kainuma1
1Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
概括
与身体表面积 (BSA) 相比,较大的三形无形塑造环指数 (TARI) 会增加手术后三形吐复发的风险. 仔细考虑患者的身体尺寸对于最佳的假肢戒指选择至关重要.
科学领域:
- 心血管外科心血管外科
- 心脏门维修 心脏门维修
- 医疗器械技术 医疗器械技术
背景情况:
- 三回 (TR) 是一种常见的膜心脏病.
- 三管解体术是一种治疗TR的外科手术.
- 假肢戒指尺寸的选择对于手术成功至关重要.
研究的目的:
- 为了研究假肢环大小与身体表面积 (BSA) 索引和三管解剖手术后TR复发之间的关联.
- 评估指数化环形大小对长期不良结果的影响.
主要方法:
- 对239名接受三环结膜整形和 mitra 门手术 (2011-2016) 的患者进行了回顾性分析.
- 通过将环大小 (mm) 分于BSA (m2) 来计算三形无形化术环指数 (TARI).
- 多变量分析以确定TR复发的风险因素和结果比较的倾向性得分匹配.
主要成果:
- TARI,而不是未调整的环形大小,是TR复发的独立风险因素 (HR 1.34,P=0.009).
- 19.0mm/m2的TARI截止值区分了小型和大型群体.
- 在小TARI组中,三年TR复发率为0%,大TARI组为7.1% (P=0.025).
结论:
- 按患者身体表面积 (BSA) 索引的假肢戒指大小是三回复发的重要预测因素.
- 根据患者的BSA优化三管结膜整形的戒指大小可能会改善长期的结果.
- 考虑患者的身体尺寸对于选择合适的假肢戒指尺寸至关重要.
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