在米特拉重建后,缩前部运动的发生率下降
E A Grossi1, B M Steinberg, M LeBoutillier
1Department of Surgery, New York University Medical Center, NY 10016.
Circulation
|November 1, 1994
概括
mitra 修复后的缩前部运动 (SAM),最初在9.1%的患者中观察到,随着新的手术技术下降到3.4%. 这种方法为左心室外流通道阻塞提供了解决方案.
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:
- 前额叶片的缩前部运动 (SAM) 可以导致左心室外流通道阻塞在额门修复后.
- 在441名接受米特拉重建的患者中,SAM在9.1%的患者中观察到.
- 虽然SAM经常通过医疗治疗得到解决,但可能会导致外科医生考虑假肢替换.
研究的目的:
- 为了评估一项手术修改,以管理心缩前部运动 (SAM) 在中枢修复后.
- 评估三角形前叶切除对SAM频率和左心室外流通道阻塞的影响.
主要方法:
- 开发并应用了三角形前叶片切除技术.
- 自1991年6月以来,这项切除在119名患有广泛前侧叶片组织的患者中进行了23例.
主要成果:
- 在研究队列中,SAM的频率显著下降.
- 在引入修改技术后的119名患者中,SAM发生在3.4%的患者中,低于最初的9.1%率.
结论:
- 三角形前侧叶片切除是一种有效的手术选择,可以减少SAM中枢后修复的发生率.
- 这种技术可以帮助选择患有SAM的患者避免假体门更换.
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