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婴儿双动脉门的手术治疗
Chenhan Wang1, Bingjie Chen1, Jingnan Chen1
1Department of Cardiothoracic Surgery, The Affiliated Children's Hospital of Xiangya School of Medicine, Central South University (Hunan Children's Hospital), Changsha, Hunan, China.
Frontiers in pediatrics
|September 2, 2025
概括
对于婴儿和儿童来说,手术修复双动脉门 (DAA) 是安全有效的. 结果是有利的,即使与相关的心脏缺陷,显示良好的症状缓解.
科学领域:
- 心血管外科
- 儿童心脏病学
- 遗传性心脏病
背景情况:
- 双动脉 (DAA) 是一种罕见的先天性血管异常,导致气管和食道的压缩.
- 症状包括呼吸道和胃肠道问题,需要及时诊断和手术.
- 关于DAA修复的手术结果和长期随访的数据有限.
研究的目的:
- 以回顾性分析手术结果和DAA的外科治疗.
- 阐明DAA的最佳诊断和治疗方法.
- 为了比较单独的DAA和DAA与心内异常之间的结果.
主要方法:
- 对接受DAA修复的患者进行回顾性队列研究 (2015年8月至2024年5月).
- 患者分为隔离的DAA或DAA与相关的心脏异常组.
- 群体之间的人口,操作和结果变量进行了比较.
主要成果:
- 10名患者接受了DAA修复;6名患者隔离了DAA,4名患者心内异常.
- 两组之间症状发作,解剖学亚型或临床表现没有显著差异.
- 孤立DAA的运行时间较短 (104.8分钟与233.3分钟相比). 在术前变量或并发症率上没有显著的群体间差异.
- 在平均12. 7个月的随访期内,在9/10名幸存者中,症状几乎完全消失.
结论:
- 在婴儿和儿童中,手术修复DAA是安全和有效的.
- 无论同时出现心内异常,短期和中期临床结果都是有利的.
- DAA修复导致显著的症状缓解和可接受的安全性.
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