CAJ | 학술논문

目的总结人工瓣环治疗右房室瓣关闭不全的近期疗效.方法对34例器质性或功能性右房室瓣中度或重度关闭不全患者使用人工瓣环行右房室瓣环缩术,同时行房问隔、室间隔及瓣膜修补术.结果无手术及住院死亡,术后1周复查超声心动图示右心室、肺动脉明显缩小.右房室瓣关闭良好21例,残余轻度返流11例,中度返流2例.结论对器质性或功能性右房室瓣关闭不全应积极行瓣膜成形术,人工瓣成形环的应用可取得可靠的临床效果.
목적 총결인공판배치료우방실판관폐불전적근기료효.방법 대34례기질성혹공능성우방실판중도혹중도관폐불전환자사용인공판배행우방실판배축술,동시행방문격、실간격급판막수보술.결과 무수술급주원사망,술후1주복사초성심동도시우심실、폐동맥명현축소.우방실판관폐량호21례,잔여경도반류11례,중도반류2례.결론 대기질성혹공능성우방실판관폐불전응적겁행판막성형술,인공판성형배적응용가취득가고적림상효과.
Objective To discuss the short-term results of tricuspid valve annuloplasty with prosthetic ring.Methods Tricuspid valve annuloplasty with prosthetic ring was performed in 34 patients with organic or functionaltricuspid valve insufficiency. At the same time atrial septal defect and ventrieular septal defect were closed valve re-placement was done. Results There was no in-hospital death. Echocardiography was done about one week after oper-ations,which showed that fight ventricle or pulmonary artery were smaller than that before operation in all patients andresidual tricuspid valve insufficiency was found mild in 11 cases, moderate in 2 cases. Conclusion Tricuspid valveannuloplnsy should be performed in patients with organic or functional tricuspid valve insufficiency. Better short-termresults may be got when prosthetic ring was used to small tricuspid annulus.