在之前的血管环和气道压缩手术后,重新手术的结果
Carmel Falek1, Ajami Gikandi2, Jennifer Brown1
1Department of Cardiac Surgery, Boston Children's Hospital, Boston, Mass.
概括
重复手术的血管环手术有效地解决了许多患者持续的呼吸道和食道症状. 量身定制的外科手术方法可以带来显著的症状改善,并具有可接受的风险.
科学领域:
- 心血管外科心血管外科
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
背景情况:
- 血管环修复可以在15-80%的患者中留下残留症状.
- 症状往往源于持续的血管压缩或气管支柱膜炎.
- 由于感知到的风险和可变的结果,重复手术受到争议.
研究的目的:
- 为了描述接受修订性血管环手术的患者.
- 分析手术方法和复手术病例的临床结果.
主要方法:
- 对接受重复手术血管环手术的患者 (1991-2024) 的回顾性审查.
- 分析患者病史,手术技术和临床结果.
- 外科干预包括Kamerell的分歧切除,动脉再植入,大动脉转位,大动脉切除和气管整形.
主要成果:
- 65名患者接受了重新手术,68%的患者最初在其他地方接受手术.
- 症状缓解率高:83%的消化不良,94%的呼吸道感染,100%的/呼吸不良,90%的慢性咳.
- 手术技术是为解决特定的压缩或气道问题而定制的.
结论:
- 重复的血管环手术可以实现显著的症状解决.
- 基于症状病因学的量身定制的外科手术方法至关重要.
- 该程序为精心挑选的患者提供了可接受的发病概况.
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