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JACC：孤立性三尖瓣手术的预后研究

2017-12-12 MedSci MedSci原创

心血管三尖瓣
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孤立性重度三尖瓣疾病的发病率逐年升高，此类疾病预后差，可导致棘手的右心衰。然而，孤立性三尖瓣手术较为少见，且目前尚缺乏手术预后的资料。本研究的目的旨在评估分析孤立性三尖瓣手术预后及其变化趋势。本研究纳入了2004年至2013年年龄大于18岁的接受三尖瓣修复术或置换术的病人，并将患有先心病、心内膜炎和合并其他非冠脉搭桥心脏手术的患者排除在外。最终，十年期间共纳入5005名行孤立性三尖瓣手术的患者，每

孤立性重度三尖瓣疾病的发病率逐年升高，此类疾病预后差，可导致棘手的右心衰。然而，孤立性三尖瓣手术较为少见，且目前尚缺乏手术预后的资料。本研究的目的旨在评估分析孤立性三尖瓣手术预后及其变化趋势。本研究纳入了2004年至2013年年龄大于18岁的接受三尖瓣修复术或置换术的病人，并将患有先心病、心内膜炎和合并其他非冠脉搭桥心脏手术的患者排除在外。最终，十年期间共纳入5005名行孤立性三尖瓣手术的患者，每年手术量从2004年的290例增至2013年的780例（p＜0.001），住院死亡率为8.8%，调整后的三尖瓣置换住院死亡率明显高于三尖瓣修复术（OR：1.91； 95% Cl： 1.18 - 3.09； p = 0.009）。研究结果显示，孤立性三尖瓣手术虽然逐年增加，但数量整体来说较少，住院死亡率无明显变化，其中三尖瓣置换术死亡率最高。原始出处：Chad J et al.National Trends and Outcomes in Isolated Tricuspid Valve Surgery.JACC.2017 Dec.本文系梅斯医学(MedSci)原创编译整理，转载需授权！

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    2018-04-18 yeye5224612

    #三尖瓣手术#

    0

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    2018-04-30 hbwxf

    #JACC#

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    2017-12-14 12498568m50暂无昵称

    #ACC#

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    2017-12-14 爆笑小医

    #孤立性#

    0

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    2017-12-14 124985dbm11(暂无昵称)

    #三尖瓣#

    0

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    2017-12-12 戒馋，懒，贪

    谢谢分享学习了

    0

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    2017-12-12 flysky120

    学习一下知识了

    0

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