CAJ | 학술논문

二尖瓣关闭不全是一种常见的心脏瓣膜疾病，其治疗的方法主要为二尖瓣置换术与二尖瓣成形术。二尖瓣成形术在保持良好的左心室结构形态、血流动力学及术后并发症发生、生存率等方面较二尖瓣置换术具有明显优越性。因此，其已广泛应用于二尖瓣关闭不全的治疗。针对二尖瓣关闭不全的不同病理改变，可以根据具体情况采用不同的成形技术，以达到最好的治疗效果。目前随着微创外科的发展，小切口二尖瓣成形和机器人辅助的二尖瓣成形技术也逐渐运用到二尖瓣成形中来。因此，我们将对二尖瓣成形术治疗二尖瓣关闭不全近几年来的诊疗现状做一综述。
이첨판관폐불전시일충상견적심장판막질병，기치료적방법주요위이첨판치환술여이첨판성형술。이첨판성형술재보지량호적좌심실결구형태、혈류동역학급술후병발증발생、생존솔등방면교이첨판치환술구유명현우월성。인차，기이엄범응용우이첨판관폐불전적치료。침대이첨판관폐불전적불동병리개변，가이근거구체정황채용불동적성형기술，이체도최호적치료효과。목전수착미창외과적발전，소절구이첨판성형화궤기인보조적이첨판성형기술야축점운용도이첨판성형중래。인차，아문장대이첨판성형술치료이첨판관폐불전근궤년래적진료현상주일종술。
The Mitral regurgitation is one of the most common heart valve disease.The main treatment of it are mitral valve replacement and mitral valvuloplasty. Patients can benefit from mitral valvuloplasty with keeping a good left ventricular function, reducing postoperative complications and raising postoperative survival rate rather then mitral valve replacement. So,it has been widely used in the treatment of mitral regurgitation. In order to achieve the best treatment ef ect, we can according to dif erent condition of mitral regurgitation with dif erent repair technology. With the development of minimal y invasive surgical technology ,minimal y invasive valve operations and robotic mitral valve reconstruction have applied to the mitral valvuloplasty. This review makes a overview focusing on the cur ent situation of mitral valvuloplasty for mitral regurgitation.