首页|人工腱索技术治疗儿童二尖瓣关闭不全的研究进展

人工腱索技术治疗儿童二尖瓣关闭不全的研究进展

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人工腱索技术是一种比较成熟的二尖瓣修复技术,尤其是在成人二尖瓣修复中取得了很好的效果.由于儿童二尖瓣本身存在质地脆弱、瓣膜尚处在发育阶段等问题,利用人工腱索技术进行儿童二尖瓣修复仍具有一定的挑战性,在缝合方式、缝线尺寸及人工腱索的放置数量方面也有一定的不同.人工腱索自身虽然无法自然生长,但是通过长期随访发现机体本身可以通过瓣叶和乳头肌的生长来代偿,从而避免二尖瓣活动受限甚至腱索断裂的情况.本文总结了近年来关于利用人工腱索技术治疗儿童二尖瓣关闭不全的研究进展,为临床治疗提供参考.
Surgical treatment for mitral valve regurgitation in children by artificial chords
Artificial chord is a mature mitral valve repair technique,especially in adult mitral valve repair.It is still challenging to repair mitral valve in children with artificial chords because the quality of mitral valve is soft and immature.There are some differences in the methods of suture,the choice of suture size and the number of artificial chords.Although the artificial chords could not grow naturally,we found through the long-term research that most children did not have mitral valve restriction or even chords rupture due to itself can compensate through the growth of the flap and papillary muscle.This article summarizes the recent research progress on the treatment of mitral valve insufficiency in children with artificial chords,providing reference for clinical treatment.

Artificial chordschildrenmitral valve regurgitationsurgical treatmentreview

刘顺、董硕、邹孟轩、孙阳雪、杜楚豪、董捷、李守军、闫军

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中国医学科学院北京协和医学院国家心血管病中心阜外医院小儿心脏外科(北京 100037)

人工腱索 儿童 二尖瓣关闭不全 外科治疗 综述

2024

中国胸心血管外科临床杂志
四川大学华西医院

中国胸心血管外科临床杂志

CSTPCD北大核心
影响因子:0.846
ISSN:1007-4848
年,卷(期):2024.31(12)