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取决于假体型号(球型、盘型)的二尖瓣人工瓣膜的长期效果

[Long-term results of mitral valve prosthetics depending on the prosthesis model (ball, disk)].

作者信息

Martsinkiavichius A, Paliushchinskaia N, Kibarskite N, Kaminskene B, Latvenene L, Kavoliunas D, Narvilene A, Grebialis A, Zhalnerauskene I, Misiura I

出版信息

Grud Serdechnososudistaia Khir. 1991 May(5):35-7.

PMID:1859680
Abstract

The authors conducted a comparative analysis of patients of 2 groups--with a MK4 model ball prosthesis and an folding disc prosthesis. It was found that the number of late-term (repeated) thromboembolic complications was significantly less in patients with a disc prosthesis (3.95 cases per 100 patient-years) and 4.28 cases among patients with a ball prostheses. No fatal outcomes associated with thromboembolism occurred among patients with a disc prosthesis, the lethality among those with a ball prosthesis was 27.5%. The advantages of a disc prosthesis in indices of physical activity and increased survival were also established.

摘要

作者对两组患者进行了对比分析,一组使用MK4型球型假体,另一组使用折叠盘型假体。结果发现,使用盘型假体的患者晚期(复发性)血栓栓塞并发症的数量明显较少(每100患者年3.95例),而使用球型假体的患者中这一数字为4.28例。使用盘型假体的患者中未发生与血栓栓塞相关的致命后果,使用球型假体患者的致死率为27.5%。还确定了盘型假体在身体活动指标和提高生存率方面的优势。

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