在活着的肝脏捐赠者中比较术前和术后的常规和斑点跟踪心声学参数
Gulsum Bingol1,2, Fulya Avci Demir3, Özge Özden4
1Cardiology, Arel University Medical Faculty, Istanbul, TUR.
Cureus
|January 21, 2025
概括
活体肝脏捐赠者的部分肝切除术并没有显著损害心室或左心房功能,仅在手术后观察到特定心声学参数的微小变化.
科学领域:
- 心脏病学 心脏病学
- 移植手术 移植手术
- 医疗成像医学成像
背景情况:
- 活体肝脏捐献涉及部分肝切除术,这是一个重大的手术程序.
- 在捐赠后评估捐赠者的心脏功能对于安全至关重要.
- 心声图,包括应变成像,是评估心脏表现的关键工具.
研究的目的:
- 评估部分肝切除术对活体肝脏捐献者的心声学参数的影响.
- 评估术后早期常规和斑点跟踪心声回声学指标的变化.
- 为了确定肝脏捐赠手术是否会导致心脏功能恶化.
主要方法:
- 对90名活着的肝脏捐赠者的回顾性研究.
- 在部分肝切除术前和5-7天后进行心声扫描.
- 分析包括M模式,2D,组织多普勒和菌株成像 (GLS,LAS).
主要成果:
- 左心室 (LV) 或右心室 (RV) 全球纵向应变 (GLS) 没有显著变化.
- 左心房应变 (LAS) 没有显示储 (LAS-r) 或导管 (LAS-cd) 阶段的变化,但心房收缩 (LAS-ct) 增加.
- 异体放松时间 (IVRT) 和E/A比率在术后下降.
结论:
- 活体肝脏捐赠者的部分肝切除术没有导致心室或左心房功能显著恶化.
- 观察到IVRT和E/A比率的轻微术后变化.
- 这项研究是首次报告肝脏捐赠手术后心声图心脏功能变化.
相关概念视频
01:28Kidney Transplant I: Introduction
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
01:26Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...