新生儿和婴儿Ebstein畸形的临床管理及手术方案:美国胸外科协会专家共识(2024)的解读  

Clinical management and surgical techniques for neonates and infants with ebstein anomaly:an interpretation of the 2024 expert consensus from the American Association for Thoracic Surgery

作　　者：何玮梅 单佳妮[1] 张晨美[1] 刘喜旺[1] He Weimei;Shan Jiani;Zhang Chenmei;Liu Xiwang(Children’s Hospital,Zhejiang University School of Medicine/National Clinical Research Center for Child Health,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院,国家儿童健康与疾病临床医学研究中心,杭州310052

出　　处：《中华胸心血管外科杂志》2024年第12期716-727,共12页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：国家重点研发计划(2021YFC2701800、2021YFC2701801)。

摘　　要：目前,国内尚缺乏针对Ebstein畸形管理的本土化指南或共识,特别是在新生儿和婴儿中的临床管理方面。2024年美国胸外科协会发布的专家共识为Ebstein畸形的临床管理提供了详细的指导,涵盖了手术时机的选择、手术方式的确定以及术后管理等关键内容。该共识的解读对于国内胸外科医师理解最新的国际学术动态具有重要意义,能够为临床实践提供借鉴。共识总结了国际范围内最新的手术技术,包括Starnes手术、双心室修复技术以及1.5心室修复技术,并对不同患者的最佳干预时机和策略进行深入分析。这为国内相关领域的发展提供了理论基础和技术参考,有助于提升国内Ebstein畸形治疗的标准化和规范化水平。Currently,there is a lack of localized guidelines or consensus on the management of Ebstein anomaly(EA)in China,particularly concerning the treatment of neonates and infants.The 2024 Expert Consensus issued by the American Association for Thoracic Surgery provides detailed guidance on the clinical management of EA,covering key aspects such as the timing of surgical interventions,selection of surgical techniques,and postoperative management.The interpretation of this consensus is of great significance for thoracic surgeons in China to understand the latest international academic developments and can serve as a valuable reference for clinical practice.The consensus outlines the latest surgical techniques adopted internationally,including the Starnes procedure,biventricular repair,and 1.5 ventricle repair,and provides an in-depth analysis of the optimal timing and strategies for interventions in different cases.This offers a theoretical foundation and technical reference for advancing the field in China,contributing to the standardization and regulation of EA treatment.

关 键 词：EBSTEIN畸形 手术 新生儿 婴儿 指南 共识 

分 类 号：R47[医药卫生—护理学]