一种简化方法的早期结果 mitrale 的 annuloplasty
J A Odell1, H V Schaff, T A Orszulak
1Section of Cardiovascular Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Circulation
|November 1, 1995
概括
一种用于修复心交膜的新型后部结膜术技术是可重复的,比完整环法更快. 这种方法提供了可比的门功能和比 commissural annuloplasty 更好的结果.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术 心脏外科手术
- 中心门维修 维修中心门
背景情况:
- 假设一种简单的,未测量的后部结婚术技术可以在标准化和容易插入方面提供优势.
- 该技术涉及使用27毫米杜兰环的三分之二用于后部结婚整形.
研究的目的:
- 为了比较三种不同 mitrale 取消术技术的结果: commissural,完整环,和未测量的后部部分环取消术.
- 为了评估未测量的后部结膜术方法的可复制性,迅速性和术后门功能.
主要方法:
- 分析了一系列连续的418名患者,两名外科医生进行了心心门修复.
- 对手术内和术后心声学评估的比较,对三种技术中的 mitra regurgitation,膜区域和梯度进行评估.
- 评估死亡率,重新手术率和手术时间 (心肺绕道和大动脉交叉紧).
主要成果:
- 在手术前的所有组中,手术内部反的严重程度在修复前都相似.
- 术后的门功能 (区域,梯度) 在三个组中是相似的,但指挥部结膜整形有更多的II级或更大的吐患者.
- 在所有组中,死亡率 (1.7%) 和重新手术率 (1.9%) 都很低. 与完整的戒指解剖手术相比,委托式和后部解剖手术的手术时间显著缩短.
结论:
- 后部结婚术的方法是可重复的和快速的.
- 术后的门功能,通过后部解环整形获得的可与测量,完整的环解环整形相比较.
- 后部解体术表现出优异的结果,与 commissural 解体术相比,关于残留的反.
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