JACC：外科手术不会改善孤立性三尖瓣反流患者的生存率

2019-08-30 不详 MedSci原创

对于<span style="mso-spacerun:'yes';font-family:Calibri;mso-fareast-font-family:宋体; mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">无左侧瓣膜功能障碍的孤立性三尖瓣反流（TR）患者，<span

对于无左侧瓣膜功能障碍的孤立性三尖瓣反流（TR）患者，通常是非手术治疗。本研究的目的旨在评估手术对孤立性TR患者的影响。

本研究纳入回顾分析了2001-2016年3276名孤立性TR成年患者，并对接受有手术治疗的患者和没有接受手术治疗的患者的全因死亡率进行了分析。在3276名患者中，有171名（5%）患者接受了三尖瓣手术，包括143例修复术和28例置换术。剩下的3105名患者接受了药物治疗。在倾向匹配样本中，将手术视为一种时间依赖性协变量时，接受内科和外科治疗的患者的总生存率没有差异（HR: 1.34; 95%Cl: 0.78-2.30; p = 0.288）。另外，在接受手术治疗的患者中，修复术和置换术对患者生存率无明显影响（HR:1.53; 95%Cl: 0.74-3.17; p = 0.254）。

研究结果显示，在孤立性三尖瓣反流患者中，外科手术治疗并不会提高患者远期的生存率。

原始出处：

Andrea L et al.Surgery Does Not Improve Survival in Patients With Isolated Severe Tricuspid Regurgitation.JACC.2019 Aug.

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2020-07-15 hbwxf

#JACC#

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2019-09-01 guoyibin

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2019-09-01 12498568m50暂无昵称

#ACC#

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2019-09-01 ms7524819409032184

#外科手术#

30 0
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2019-09-01 meichuangyi

#三尖瓣反流#

46 0
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2019-09-01 jxrzshh

#孤立性#

32 0
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2019-09-01 feifers

#反流#

24 0
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2019-09-01 124985dbm11(暂无昵称)

#三尖瓣#

28 0

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