| 风湿性左心瓣膜病变术中行三尖瓣矫治的临床价值 |
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| 引用本文： | 陆小虎,吴延虎,张石江,邵永丰,秦建伟.风湿性左心瓣膜病变术中行三尖瓣矫治的临床价值[J].江苏医药,2012,38(9):1040-1042. |
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| 作者姓名： | 陆小虎 吴延虎 张石江 邵永丰 秦建伟 |
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| 作者单位： | 南京医科大学第一附属医院心胸外科, 江苏省,210029 |
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| 摘 要： | 目的探讨以三尖瓣环扩大作为风湿性左心瓣膜病变术中三尖瓣关闭不全矫治指征的临床价值。方法风湿性左心瓣膜疾病行手术治疗的患者104例分为单纯左心瓣膜置换30例(A组)和左心瓣膜置换加三尖瓣手术74例(B组)两组。B组术中测量三尖瓣环直径≥70mm者行三尖瓣成形或置换手术。结果两组术后心功能均较术前好转。B组术后心功能明显好于A组。B组术后三尖瓣返流程度明显改善,而A组三尖瓣返流程度较术前加重。结论三尖瓣环直径≥70mm可以作为风湿性左心瓣膜病变术中三尖瓣成形或置换手术的一个指征。
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| 关 键 词： | 风湿性心脏病 三尖瓣成形 三尖瓣置换术 |
Clinical significance of tricuspid surgery in patients with rheumatic disease undergoing left-side valve surgery |
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| Institution: | LU Xiaohu,WU Yanhu,ZHANG Shijiang,et al. Department of Thoracic and Cadiovascular Surgery,First Affiliated Hospital,Nanjing Medical University,Nanjing 210029, CHINA |
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| Abstract: | Objective To explore the clinical value of tricuspid dilatation as a criterion for rheumatic tricuspid regurgitation. Methods A total of 104 patients with rheumatic disease underwent left-side valve surgery.Taking the tricuspid annular dimension ≥70 mm measured intraoperatively as the criterion,30 patients with the tricuspid annular dimension <70 mm(group A) received left-side valve surgery only and 74 patients with the tricuspid annular dimension ≥70 mm(group B) received left-side valve surgery plus tricuspid annuloplasty or tricuspid replacement. Results Cardiac function after surgery was inproved in both groups,which was more in group B than that in group A.Tricuspid regurgitation grade was significantly decreased postoperatively in group B,but which was worse in group A. Conclusion The tricuspid annular dimension ≥70 mm may be taken as a criterion for tricuspid annuloplasty or tricuspid replacement. |
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| Keywords: | Rheumatic heart disease Tricuspid annuloplasty Tricuspid replacement |
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