倾向分值匹配法对2种手术方式治疗左室室壁瘤的比较分析

倾向分值匹配法对2种手术方式治疗左室室壁瘤的比较分析[J]. 实用临床医药杂志, 2009, (9): 5-8.
引用本文: 倾向分值匹配法对2种手术方式治疗左室室壁瘤的比较分析[J]. 实用临床医药杂志, 2009, (9): 5-8.
A Propensity Score-matched Study of Outcomes Following Different Repair Techniques For Left Ventricular Aneurysm[J]. Journal of Clinical Medicine in Practice, 2009, (9): 5-8.
Citation: A Propensity Score-matched Study of Outcomes Following Different Repair Techniques For Left Ventricular Aneurysm[J]. Journal of Clinical Medicine in Practice, 2009, (9): 5-8.

倾向分值匹配法对2种手术方式治疗左室室壁瘤的比较分析

基金项目: 国家科技支撑计划,北京市科委资助项目
详细信息
  • 中图分类号: R.654

A Propensity Score-matched Study of Outcomes Following Different Repair Techniques For Left Ventricular Aneurysm

  • 摘要: 目的 评估改良左室成形(VR)及线性缝合(LR)治疗左室室壁瘤的近期、远期结果.方法 1995~2005年,本院共收治了514例左室室壁瘤患者,其中145例行改良内荷包环缩左室成形, 352例行标准的线性缝合.应用倾向分值匹配法选择202例具有相似术前术中特征的患者(左室成形组和线性缝合组各101例),比较其近期、远期临床结果.结果 2组患者经倾向分值匹配后具有相似的疾病特征、并存疾病、心脏病史及解剖,院内死亡率均为2.0%, 随访期内死亡率均为11.9%.术后VR组左室射血分数(LVEF)较LR组提高的明显(P<0.01).2组在再入院率、MACCEs发生率均有显著的统计学差异(P<0.01).Cox风险比例模型分析发现线性缝合是MACCEs发生和再入院的独立风险因子(HR:1.86, 95% CI=1.15~3.02, P=0.012).结论手术方式的不同并不影响手术的近远期死亡率,但VR组较LR组术后LVEF提高的多, MACCEs发生和再入院率低,均有显著性差异.
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出版历程
  • 发布日期:  2009-11-29

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