發(fā)布時(shí)間：2018-04-08 11:27

  本文選題：自膨式主動(dòng)脈瓣膜　切入點(diǎn)：球囊擴(kuò)張式主動(dòng)脈瓣膜　出處：《實(shí)用醫(yī)學(xué)雜志》2017年04期

【摘要】：目的:比較自膨式主動(dòng)脈瓣膜(SEv)和球囊擴(kuò)張式主動(dòng)脈瓣膜(BEv)經(jīng)導(dǎo)管主動(dòng)脈瓣膜置入術(shù)(TAVI)的療效及安全性,為臨床治療提供循證學(xué)依據(jù)。方法:檢索Pubmed、CNKI和萬方數(shù)據(jù)庫,檢索所有比較經(jīng)導(dǎo)管SEv和BEv人工瓣膜置入術(shù)療效的對照研究。統(tǒng)計(jì)分析30 d的病死率、中重度主動(dòng)脈瓣返流(AR)、心臟起搏器植入率及隨訪1年的總體病死率,并采用Rev Man5.2和Stata11軟件進(jìn)行Meta分析。結(jié)果:最終納入6項(xiàng)研究(1項(xiàng)為隨機(jī)對照研究,5項(xiàng)為回顧性研究),共1 805例患者。分析結(jié)果顯示,SEv置入術(shù)的中重度主動(dòng)脈瓣返流率及心臟起搏器植入率均明顯高于球囊擴(kuò)張式瓣膜置入術(shù)(OR=3.01,P0.000 1;OR=4.13,P0.000 01),而二者的瓣膜置入術(shù)成功率、血管并發(fā)癥發(fā)生率、30 d及1年病死率則無明顯差異(P0.05)。結(jié)論:經(jīng)導(dǎo)管SEv置入術(shù)中重度主動(dòng)脈瓣返流率及心臟起搏器植入率風(fēng)險(xiǎn)高于BEv置入術(shù),但二者的手術(shù)成功率、術(shù)后血管并發(fā)癥發(fā)生率及中短期死亡率則無明顯差異。
[Abstract]:Objective: to compare the efficacy and safety of self-expandable aortic valvus (SEV) and balloon dilated aortic valve (BEvV) via catheterized aortic valve implantation (TAVI), and to provide evidence based basis for clinical treatment.Methods: the database of Pubmedus Sinica and Wanfang were searched, and all the comparative studies were conducted to compare the efficacy of transcatheter SEv and BEv prosthetic valve implantation.The mortality of 30 days, moderate and severe aortic regurgitation, cardiac pacemaker implantation rate and overall fatality rate of 1 year follow up were analyzed statistically. Meta was analyzed by Rev Man5.2 and Stata11 software.Results: a total of 1 805 patients were included in 6 studies, including 1 randomized controlled study and 5 retrospective studies.The results showed that the moderate and severe aortic regurgitation rate and pacemaker implantation rate in SEV implantation were significantly higher than those in ORV 3.01 P 0.000 1 P 0.13 P 0.000 01, and the successful rate of valve implantation in both groups was higher than that in the balloon dilated valve implantation.There was no significant difference in the incidence of vascular complications between 30 days and 1 year (P 0.05).Conclusion: the risk of severe aortic regurgitation rate and pacemaker implantation rate in transcatheter SEv implantation is higher than that in BEv implantation, but there is no significant difference in the success rate, the incidence of postoperative vascular complications and the medium and short term mortality between the two groups.
【作者單位】： 河南科技大學(xué)臨床醫(yī)學(xué)院河南科技大學(xué)第一附屬醫(yī)院心外科;
【分類號(hào)】：R654.2

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李杜生;江楷主;陳學(xué)深;陳柔嬌;;退行性主動(dòng)脈瓣膜病21例分析[J];實(shí)用醫(yī)學(xué)雜志;1992年04期

2 田鵬;趙德元;史進(jìn);史新華;車紅軍;;主—肺動(dòng)脈間隔缺損并主動(dòng)脈瓣膜竇底破裂1例報(bào)告[J];山東醫(yī)藥;2006年33期

3 顧明標(biāo);陳翔;白元;宗剛軍;朱玉峰;姚穎龍;趙仙先;吳弘;秦永文;;開胸經(jīng)導(dǎo)管植入帶瓣膜主動(dòng)脈瓣支架置換犬主動(dòng)脈瓣膜的短期療效觀察[J];第二軍醫(yī)大學(xué)學(xué)報(bào);2009年10期

4 宋超;陸清聲;周建;于鵬;景在平;;經(jīng)皮主動(dòng)脈瓣膜置入術(shù)的臨床應(yīng)用進(jìn)展[J];現(xiàn)代生物醫(yī)學(xué)進(jìn)展;2012年01期

5 劉長福;;經(jīng)導(dǎo)管人工主動(dòng)脈瓣膜置換術(shù)指南關(guān)于并發(fā)癥的解讀[J];中華保健醫(yī)學(xué)雜志;2013年04期

6 張志強(qiáng);;試論磁共振成像在主動(dòng)脈瓣膜病變中的應(yīng)用[J];中國傷殘醫(yī)學(xué);2011年03期

7 劉兆平;霍勇;;經(jīng)導(dǎo)管主動(dòng)脈瓣膜置入術(shù)的現(xiàn)狀與進(jìn)展[J];中國介入心臟病學(xué)雜志;2011年06期

8 劉鐘琳;;伴有主動(dòng)脈瓣返流的A型主動(dòng)脈夾層分離術(shù)中保留主動(dòng)脈瓣膜[J];國外醫(yī)學(xué).心血管疾病分冊;1992年04期

9 ;復(fù)旦大學(xué)附屬中山醫(yī)院葛均波教授完成國內(nèi)首例經(jīng)皮主動(dòng)脈瓣膜置換術(shù)[J];中國醫(yī)學(xué)前沿雜志(電子版);2010年04期

10 李銘輝;秦永文;;經(jīng)導(dǎo)管主動(dòng)脈瓣膜置換技術(shù)現(xiàn)狀和展望[J];武警醫(yī)學(xué);2012年05期

相關(guān)會(huì)議論文 前4條

1 宋光民;胡盛壽;宋云虎;唐躍;周建業(yè);崔經(jīng)緯;蔣虹;袁衛(wèi)民;;無支架豬主動(dòng)脈瓣膜的動(dòng)物實(shí)驗(yàn)研究[A];全國心臟瓣膜外科學(xué)術(shù)會(huì)議論文集[C];2005年

2 潘文志;周達(dá)新;葛雷;葛均波;;經(jīng)導(dǎo)管主動(dòng)脈瓣膜置入術(shù)后半年隨訪一例[A];第十三次全國心血管病學(xué)術(shù)會(huì)議論文集[C];2011年

3 劉焱;;經(jīng)皮主動(dòng)脈瓣膜置換術(shù)[A];“全國護(hù)理管理改革創(chuàng)新”高層論壇、全國老年呼吸系統(tǒng)疾病護(hù)理論壇、全國介入護(hù)理發(fā)展論壇、全國護(hù)理新理論、新方法、新技術(shù)研討會(huì)大會(huì)資料[C];2011年

4 張，

本文編號(hào)：1721401