后左心周切除术:心脏手术的优势是什么?
Antonino Di Franco1, Sigrid Sandner2, Giovanni Jr Soletti1
1Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY, USA.
概括
后心周切除术 (PP) 可能减少心脏手术后的术后心房动 (POAF). 这种简单的技术有望改善患者的治疗结果,尽管需要进一步的多中心试验才能得出明确的结论.
科学领域:
- 心脏外科手术 心脏外科手术
- 胸部外科手术 胸部外科手术
- 心脏病学 心脏病学
背景情况:
- 手术后心房动 (POAF) 是心脏手术后的一个常见并发症.
- POAF增加了住院时间,成本,发病率 (中风,心力衰竭) 和死亡率.
- 后心周切除术 (PP) 是一种技术,用于将心周排到左侧腔中,以防止POAF.
研究的目的:
- 审查目前关于后部心周切除术 (PP) 降低POAF功效的证据.
- 突出了心脏外科手术中PP的未来研究方向.
主要方法:
- 基于对相关文献的同学选择进行叙事审查.
- 没有进行系统的文献搜索.
主要成果:
- 研究表明,PP可以降低心脏外科手术后的POAF,心周溢血和心脏带的发生率.
- 在PP后增加的多发性流发生率与增加的肺部并发症没有相关性.
- 常规PP的长期结果改善仍然不确定.
结论:
- 后心周切除术是一种安全而简单的手术,对心脏手术患者有潜在的益处.
- 预计即将进行的多中心试验将为PP的作用提供明确的证据.
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