实用医学杂志2018，Vol.34Issue(9)：1476-1480,5.DOI:10.3969/j.issn.1006-5725.2018.09.017
自体心包片预防性三尖瓣成形术远期随访结果——832例风湿性心脏病患者倾向性匹配分析
Long-term outcomes of prophylactic autologous pericardium tricuspid annuloplasty:propensity score matching of 832 patients with rheumatic heart disease
摘要
Abstract
Objective To investigate the safety and longterm outcomes of prophylactic autologous pericardium tricuspid valve annuloplasty(TVA)in patients with rheumatic heart disease(RHD). Methods A total of 832 patients with RHD were enrolled in this study ,including 146 patients with mild FTR but without TVA(observation group);434 patients with mild FTR underwent TVA(control group A)and 434 patients with moderate or severe FTR underwent TVA(control group B). Propensity score and survival analysis were used to evaluate perioperative safety ,FTR progression ,CHF and MACCE incidence after prophylactic TVA. Results A total of 192 patients were successfully matched. There was no significant difference in the perioperative complications between the observation group and the control groups(P>0.05). The progression rate of FTR in the observation group was significantly lower than that in the control groups (P = 0.005 & 0.032 ). There was no significant difference in the incidence of CHF and MACCE events between the observation group and the control groups (P > 0.05). Conclusions The treatment strategy of prophylactic autologous pericardium TVA at the time of left heart valve surgery for patients with RHD doesn′t increase operation costs ,perioperative complications and mortality ,but effectively prevent postoperative FTR recurrence or progression.关键词
风湿性心脏病/三尖瓣成形术/随访结果Key words
rheumatic heart disease/tricuspid valve annuloplasty/long-term outcome引用本文复制引用
张建,梁贵友,刘达兴,任彦,周浩,彭格红,陶文鸿..自体心包片预防性三尖瓣成形术远期随访结果——832例风湿性心脏病患者倾向性匹配分析[J].实用医学杂志,2018,34(9):1476-1480,5.基金项目
贵州省科技合作计划项目(编号:黔科合LH字[2015]7500号) （编号:黔科合LH字[2015]7500号）
