山东医药2025，Vol.65Issue(4)：59-62,4.DOI:10.3969/j.issn.1002-266X.2025.04.012
经导管主动脉瓣置换术与外科主动脉瓣置换术治疗重度主动脉瓣狭窄效果比较
Comparison of effects of transcatheter aortic valve replacement and surgical aortic valve replacement in the treatment of aortic stenosis
摘要
Abstract
Objective To compare the clinical efficacy of surgical aortic valve replacement(SAVR)and transcathe-ter aortic valve replacement(TAVR)in the treatment of aortic stenosis(AS).Methods From January 2020 to October 2024,41 patients with severe AS admitted to the Department of Cardiac Surgery,the First Affiliated Hospital of Bengbu Medical University were divided into the TAVR group(15 cases)and SAVR group(26 cases)according to different surgi-cal methods,and patients in the TAVR group were treated with TAVR,SAVR group with SAVR.Left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),postoperative mechanical ventilation time,postopera-tive hospitalization time,drainage on the first day after operation,intensive care unit(ICU)stay,and postoperative com-plications were compared between the two groups.Results Compared with the same group before operation,LVEDD and LVEF in the TAVR group,and LVEDD in the SAVR group decreased after operation(all P<0.05).Compared with the SAVR group,LVEDD in the TAVR group decreased after operation(P<0.05).Compared with the SAVR group,TAVR group had less drainage on the first day after operation(P<0.05).Compared with the SAVR group,the postopera-tive mechanical ventilation time,postoperative hospital stay and ICU stay in the TAVR group were shorter,but there were no statistical differences between the two groups(all P>0.05).Postoperative perivalvular leakage occurred in 2 cases(13.33%)in the TAVR group,and 1 case(3.85%)in the SAVR group,meanwhile,2 cases(7.69%)had wound infec-tion and 1 case(3.85%)had hemostasis of reoperation in the SAVR group,with no significant differences between the two groups(all P>0.05).Conclusion TAVR and SAVR are effective in treatment of severe AS,both of which can improve patients'cardiac function,but TAVR has shorter recovery time,less surgical trauma and fewer surgical complications than SAVR.关键词
主动脉瓣狭窄/主动脉瓣膜置换术/心脏导管微创技术/开胸手术Key words
aortic valve stenosis/aortic valve replacement/minimally invasive technique of cardiac catheter/tho-racotomy分类
临床医学引用本文复制引用
蔡超,杨少峰,刁文杰,刘戈,施超..经导管主动脉瓣置换术与外科主动脉瓣置换术治疗重度主动脉瓣狭窄效果比较[J].山东医药,2025,65(4):59-62,4.基金项目
安徽省卫健委科研项目(AHWJ2023A30184). （AHWJ2023A30184）
