心脏瓣膜手术中分离缝合与半连续缝合的临床效果比较

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摘要

背景与目的:在心脏瓣膜手术中应用了多种治疗方法和手术方法,包括间断缝合和半连续缝合技术。因此,本研究旨在比较两种中断缝合和半连续缝合技术在二尖瓣或主动脉瓣置换术期间和之后的临床意义,患者转院于Birjand医科大学医学院外科。材料与方法:本研究根据研究目的,通过检查表收集患者所需信息。受试者采用连续缝合或间断缝合技术进行主动脉瓣或二尖瓣置换术。检查了患者的病历以调查并发症,如果没有登记所需的信息,也联系了患者或其亲属,以便患者的外科医生对患者进行检查并将其转介到医院。结果:连续缝合组和间断缝合组手术患者的平均年龄评分分别为53.06±13.48岁和52.86±12.97岁。结果显示,两组患者瓣膜渗漏、心律失常、心梗、瓣膜感染、受累瓣膜类型、主动脉瓣和二尖瓣大小分布广泛;两组间差异无统计学意义(P < 0.05)。结论:从本研究结果来看,连续缝合和间断缝合两种方法对心功能的影响及并发症发生率无显著差异;因此,由于上述情况,这两种方法并不具有优势。
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Comparison of Clinical Outcomes Seprate and semi continus sewing methods during and after Heart valves Surgery
Background and Aims: Various therapies and surgeries are applied in heart valve surgery, including interrupted and semi-continuous suture techniques. Therefore, this study aimed to compare the clinical implications of two methods of interrupted and semi-continuous suture techniques during and after mitral or aortic valve replacement surgery among patients referred to Department of Surgery, School of Medicine, Birjand University of Medical Sciences. Materials and Methods: In this study, the required information of patients was collected through the checklist based on the objectives of the study. The subjects had undergone aortic or mitral valve replacement for heart valve replacement suturing with continuous or interrupted suturing techniques. The patientschr('39') records were examined to investigate the complications, and in case that the required information was not registered, the patient or his relatives were also contacted so that the patient could be examined and referred to the hospital by the patientchr('39')s surgeon. Results: The mean age scores of patients undergoing surgery in the continuous and interrupted suture groups were obtained as 53.06±13.48 and 52.86±12.97 years, respectively. It was revealed that there was a large distribution of heart valve leakage, arrhythmia, heart attack, valve infection, involved valve type, and aortic and mitral valve size in the two groups; however, there was no significant difference (P>0.05). Conclusion: Based on the results of this study, the rate of cardiac function and complications caused by the two techniques of continuous and interrupted suturing were not significantly different from each other; therefore, these two methods were not superior to each other due to the mentioned cases.
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