中国多地专家研发风险评分系统 可预测儿童先天性二尖瓣反流术后不良结局|人人妻人人藻人人爽欧美一区

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  中新网上海9月8日电 (记者 陈静)先天性二尖瓣反流是一种罕见却严重的儿童心脏瓣膜疾病。记者8日获悉,中国多地医学专家共同开发并验证了专门用于预测儿童先天性二尖瓣反流术后不良结局的风险评分系统——PRIMARY评分。

  由国家儿童医学中心、上海交通大学医学院附属上海儿童医学中心(简称:上海儿童医学中心)心胸外科陈会文主任团队牵头,联合全国八家顶尖儿童心脏中心共同取得的研究成果在国际权威医学期刊《e临床医学》(eClinicalMedicine,为《柳叶刀》子刊)正式发表。

  长期以来,临床依赖心脏超声的粗略分级,缺乏精准量化工具,导致手术决策与预后评估存在较大不确定性。为此,上海儿童医学中心发起此项多中心研究,联合安贞医院、广州妇女儿童医疗中心、西京医院等八家单位,共纳入2009年至2022年间的2640例患儿数据,通过Cox回归模型构建风险预测工具,并完成外部验证。

  PRIMARY评分系统涵盖8项关键预测因子,包括年龄、术前NT-proBNP、左心室射血分数(LVEF)、左心房内径、心室结构变化、MR类型及是否接受二尖瓣环缩术等。

  该系统表现出优异的预测效能,能将患儿划分为低、中、高风险三类,显著提升手术决策的科学性和预后评估的准确性。专家们的研究还明确指出,瓣环缩术技术可显著提高中低度反流患儿修复术后的长期稳定性。(完)

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