中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
12期
27-28,29
,共3页
韦成信%曹健斌%李逢昌%李富骊%石磊%黄维佳%陈俞宏
韋成信%曹健斌%李逢昌%李富驪%石磊%黃維佳%陳俞宏
위성신%조건빈%리봉창%리부려%석뢰%황유가%진유굉
二尖瓣反流%二尖瓣成形%二尖瓣成形环
二尖瓣反流%二尖瓣成形%二尖瓣成形環
이첨판반류%이첨판성형%이첨판성형배
Mitral regurgitation%Mitral annuloplasty%Annuloplasty ring
目的：总结应用二尖瓣成形环行二尖瓣成形手术治疗二尖瓣反流行的临床经验及疗效。方法：2011年4月至2013年12月，25例二尖瓣中重度反流患者进行二尖瓣成形手术，男11例，女14例；年龄18～65(52±4.1)岁。病因包括先天性二尖瓣关闭不全3例，瓣叶弹性纤维退行性变致瓣叶脱垂、腱索断裂或冗长致瓣叶脱垂17例，感染性心内膜炎5例。合并房颤13例，三尖瓣中重度反流11例。结果：无住院死亡患者。术后随访1～31个月，平均（15.2±13.6）个月。同术前相比，患者术后二尖瓣反流情况明显减轻，左心房和左心室内径明显缩小，射血分数明显增加，心功能状态明显改善。结论：联合应用二尖瓣成形环对二尖瓣关闭不全患者进行手术治疗,并发症少,恢复效果好,术后无需长期抗凝，是治疗单纯二尖瓣关闭不全患者的理想手术方式。
目的：總結應用二尖瓣成形環行二尖瓣成形手術治療二尖瓣反流行的臨床經驗及療效。方法：2011年4月至2013年12月，25例二尖瓣中重度反流患者進行二尖瓣成形手術，男11例，女14例；年齡18～65(52±4.1)歲。病因包括先天性二尖瓣關閉不全3例，瓣葉彈性纖維退行性變緻瓣葉脫垂、腱索斷裂或冗長緻瓣葉脫垂17例，感染性心內膜炎5例。閤併房顫13例，三尖瓣中重度反流11例。結果：無住院死亡患者。術後隨訪1～31箇月，平均（15.2±13.6）箇月。同術前相比，患者術後二尖瓣反流情況明顯減輕，左心房和左心室內徑明顯縮小，射血分數明顯增加，心功能狀態明顯改善。結論：聯閤應用二尖瓣成形環對二尖瓣關閉不全患者進行手術治療,併髮癥少,恢複效果好,術後無需長期抗凝，是治療單純二尖瓣關閉不全患者的理想手術方式。
목적：총결응용이첨판성형배행이첨판성형수술치료이첨판반류행적림상경험급료효。방법：2011년4월지2013년12월，25례이첨판중중도반류환자진행이첨판성형수술，남11례，녀14례；년령18～65(52±4.1)세。병인포괄선천성이첨판관폐불전3례，판협탄성섬유퇴행성변치판협탈수、건색단렬혹용장치판협탈수17례，감염성심내막염5례。합병방전13례，삼첨판중중도반류11례。결과：무주원사망환자。술후수방1～31개월，평균（15.2±13.6）개월。동술전상비，환자술후이첨판반류정황명현감경，좌심방화좌심실내경명현축소，사혈분수명현증가，심공능상태명현개선。결론：연합응용이첨판성형배대이첨판관폐불전환자진행수술치료,병발증소,회복효과호,술후무수장기항응，시치료단순이첨판관폐불전환자적이상수술방식。
Objective:This study was performed to evaluate the clinical experience and effect about treatment of mitral regurgitation with annuloplasty ring. Metheds:From April 2011 to December 2013,25 patients (including 11 male patients and 14 female patients )with moderate or severe mitral regurgitation received plastic operation.The average age was 52±4. 1years(range 18~65 years).Prolapse of leaflet came from degeneration of elastic fibers,chordal rupture and chordal elongation was presented in 17 patients.Other causes of mitral regurgitation were congenital mitral insufficiency(3 patients) and infective endocarditis(5 patients).The concomitant disease included atrial fibrilation in 13 patients, moderate or severe tricuspid regurgitation in 11 patients. Result:During the felow up of 1 to 30 months(15.2±13.6),al patients survived.Significant aleviation of mitral regurgitation was observed in al patients after procedure as compared with preoperative data.Echo showed the diminution of left atrial diameter and left ventricular end diastolic diameter, augmentation of ejection fraction, improvement of cardiac function among these patients.Conclusion:The application of annuloplasty ring in mitral annuloplasty has less complication and stable clinical results.This surgical technique without long-term anticoagulation is good to patient with mitral regurgitation.
