首页|应用二尖瓣成形环治疗二尖瓣反流25例分析

应用二尖瓣成形环治疗二尖瓣反流25例分析

Clinical Analysis About Treatment of Mitral Regurgitation With Annuloplasty Ring in 25 Patients

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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。
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.

Mitral regurgitationMitral annuloplastyAnnuloplasty ring

韦成信、曹健斌、李逢昌、李富骊、石磊、黄维佳、陈俞宏

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广西壮族自治区柳州市人民医院 545006

二尖瓣反流 二尖瓣成形 二尖瓣成形环

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(12)
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