[感染性心内膜炎的脉冲灌流冲洗手术治疗]。

Q4 Medicine Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-02-01
Kotone Tsujimoto, Hideo Yoshida, Genya Muraoka, Masahiko Kuinose
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引用次数: 0

摘要

简介:脉冲灌洗(PLI)是一种用于清洗受污染软组织和预防骨科手术感染的方法。我们将PLI应用于感染性心内膜炎(IE)的手术治疗:2017年1月至2021年6月,6例患者接受了PLI手术治疗IE。我们研究了PLI的疗效:感染瓣膜为二尖瓣4例,主动脉瓣1例,主动脉人工瓣膜1例。进行的手术包括 4 例二尖瓣成形术、1 例主动脉瓣置换术和 1 例主动脉人工瓣膜植被切除术。随访期间未观察到IE复发或原生瓣膜或人工瓣膜恶化:结论:PLI对IE的手术治疗非常有用,因为IE没有复发,原生二尖瓣或主动脉人工瓣膜也没有恶化。
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[Surgical Treatment with Pulsed Lavage Irrigation for Infective Endocarditis].

Introduction: Pulsed lavage irrigation (PLI) is a procedure used to wash contaminated soft tissues and prevent infection in orthopedic surgery. We applicated PLI for surgical treatment of infective endocarditis( IE).

Subjects and methods: From January 2017 to June 2021, 6 cases underwent surgical treatment IE using PLI. We investigated an efficacy of PLI.

Results: Infected valves were mitral valve in 4 cases, aortic valve in 1 case, and aortic prosthetic valve in 1 case. The performed procedures were mitral valve plasty in 4 cases, aortic valve replacement in 1 case, and 1 removal of vegetation on the aortic prosthetic valve. No recurrence of IE or no deterioration of the native valve or the prosthetic valve was observed in follow-up periods.

Conclusion: PLI was useful for surgical treatment of IE because of no recurrence of IE or no deterioration of native mitral valves or the aortic prosthetic valve.

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