| 二尖瓣成形术治疗先天性心脏病合并二尖瓣关闭不全 |
| |
| 引用本文： | 包阳,徐志云,韩林,陆方林,徐激斌,邹良建. 二尖瓣成形术治疗先天性心脏病合并二尖瓣关闭不全[J]. 实用临床医药杂志, 2011, 15(24): 75-77 |
| |
| 作者姓名： | 包阳 徐志云 韩林 陆方林 徐激斌 邹良建 |
| |
| 作者单位： | 1. 江苏省扬州市第一人民医院心胸外科,江苏扬州,225009
2. 第二军医大学附属长海医院胸心外科,上海,200433 |
| |
| 摘 要： | 目的总结二尖瓣成形术在合并二尖瓣关闭不全的先天性心脏病中的应用经验,并探讨影响疗效的相关因素。方法对本院收治的合并有二尖瓣关闭不全的先天性心脏病患者147例,分别采用瓣膜裂隙修补、交界环缩、瓣环环缩、人工环成形、人工腱索、腱索延长等方法行成形术,39例(26.5%)同时运用2种以上成形技术。结果术后早期死亡6例(4.1%),术后7个月死亡1例。死亡与手术年龄(≤12岁)、体外循环时间(≥120 min)、主动脉阻断时间(≥80 min)及合并心脏畸形有关。随访结果为2例因二尖瓣反流再发,分别于术后半年和1年行二尖瓣置换术。其余病例术后心功能有不同程度改善,超声心动图检查术后瞬时反流量显著低于术前。结论二尖瓣成形术治疗先天性心脏病合并的二尖瓣关闭不全早、中期疗效满意。
|
| 关 键 词： | 心脏疾病,先天性 二尖瓣关闭不全 二尖瓣成形术 |
Mitral valvoplasty of congenital heart disease with mitral valve regurgitation |
| |
| BAO Yang , XU Zhi-yun , HAN Lin , LU Fang-lin , XU Ji-bin , ZOU Liang-jian. Mitral valvoplasty of congenital heart disease with mitral valve regurgitation[J]. Journal of Clinical Medicine in Practice, 2011, 15(24): 75-77 |
| |
| Authors: | BAO Yang XU Zhi-yun HAN Lin LU Fang-lin XU Ji-bin ZOU Liang-jian |
| |
| Affiliation: | BAO Yang1,XU Zhi-yun2,HAN Lin2,LU Fang-lin2,XU Ji-bin2,ZOU Liangjian2(1.Yangzhou No.1 People's Hospital,Yangzhou,Jiangsu,225009,2.Changhai Hospital Affiliated to the Second Military Medical University,Shanghai,200433) |
| |
| Abstract: | Objective To summarize the experience of mitral valvoplasty in patients with congenital heart disease with mitral valve regurgitation.Methods 147 patients with congenital heart disease with mitral valve regurgitation underwent valve repair.Isolated mitral valve regurgitation was found in 6 patients.The methods of repair included closure of cleft of the mitral leaflet,partial annuloplasty,commissure plication annuloplasty,ring annuloplasty,artificial chordae and chordae prolongation.The associated cardiac an... |
| |
| Keywords: | heart disease congenital mitral valve regurgitation mitral valvoplasty |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
