通过手术治疗的传染性内心炎:成像和手术发现之间的相关性
Aviram Akuka1,2, Rafael Kuperstein3,4, Hillit Cohen5
1Heart Institute, E. Wolfson Medical Center, Holon, 58100, Israel. akukamd@gmail.com.
The international journal of cardiovascular imaging
|March 3, 2026
概括
经食道心声学 (TEE) 与传染性内心炎 (IE) 的手术发现有很高的相关性. 然而,发现了一些差异,尤其是对关的干扰或S. viridans的干扰,但这些差异并没有影响外科决定.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
背景情况:
- 感染性内心炎 (IE) 的诊断严重依赖于心声回声学.
- 经食道心声学 (TEE) 是IE的关键成像方式.
- 了解TEE和外科发现之间的一致性对于患者管理至关重要.
研究的目的:
- 评估感染性内心炎 (IE) 患者的跨食道心声学 (TEE) 和手术发现之间的相关性.
- 确定与TEE和手术发现之间的差异相关的因素.
- 评估这些差异对手术适宜性的临床影响.
主要方法:
- 对80名经过手术的IE患者进行了回顾性研究.
- 对TEE发现 (植被,,卷入,植被大小) 与手术内外科发现进行比较.
- 不一致的定义是≥1个受感染的,,或植被大小≥5mm.
- 使用了描述性统计和回归分析.
主要成果:
- 在TEE和手术发现之间观察到 count,膜卷入和植被大小的高相关性.
- 在手术期间 (19%) 与TEE (11%) 相比,发现了更多的植被.
- 差异发生在42.5%的患者中,与S. viridans感染和中枢卷入有关.
- 查尔森指数和植被大小与多变量分析中的不一致结果有关.
结论:
- TEE是评估传染性内心炎的可靠工具,与手术发现有很强的相关性.
- 存在差异,特别是在S. viridans IE或中枢干扰的情况下,但不会影响手术决策.
- 尽管存在微小的差异,但TEE发现指导了IE的适当外科手术.
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