مقايسه پيامدهاي باليني دو روش دوخت دريچه منقطع و نيمه پيوسته در حين و پس از عمل جراحي دريچه‌هاي قلب

Comparison of clinical outcomes of interrupted and semi-continuous suture techniques during and after heart valves surgery

زمينه و هدف: روش‌هاي درماني و جراحي مختلفي جهت اعمال دريچه قلبي استفاده مي‌شود كه روش بخيه نيمه پيوسته و منقطع از جمله اين موارد است. لذا هدف ما مقايسه پيامدهاي باليني دو روش دوخت دريچه منقطع و نيمه پيوسته در حين و پس از جراحي تعويض دريچه ميترال يا آئورت در بيماران مراجعه كننده به بخش جراحي قلب بيرجند بود. روش تحقيق: در اين مطالعه كوهورت گذشته نگر اطلاعات مورد نياز پرونده افرادي كه جهت تعويض دريچه آئورت يا ميترال از دو روش بخيه نيمه پيوسته يا منقطع استفاده شده است، در چك ليستي بر اساس اهداف مطالعه جمع‌آوري شد. با بررسي پرونده بيماران عوارض بررسي و در صورت عدم ثبت اطلاعات مورد نياز با بيمار و يا نزديكان وي نيز تماس تلفني گرفته شد تا ضمن ويزيت و مراجعه بيمار به بيمارستان اطلاعات مورد نظر بررسي گردد. يافته‌ها: ميانگين سني بيماران تحت عمل جراحي در گروه بخيه نيمه پيوسته و منقطع به ترتيب برابر با 13/48±53/06 و 12/97±52/86 سال بود. توزيع فراواني رخداد نشت دريچه قلبي، آريتمي، سكته قلبي، عفونت دريچه، نوع دريچه درگير، در دو گروه با يكديگر اختلاف معناداري نداشت. (0/05

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 patients' 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 patient'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.