| 二尖瓣腱索断裂的外科治疗 |
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| 引用本文： | 李斌,陈兴澎,王亚宏. 二尖瓣腱索断裂的外科治疗[J]. 中国心血管病研究杂志, 2013, 11(9): 664-665 |
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| 作者姓名： | 李斌 陈兴澎 王亚宏 |
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| 作者单位： | 李斌(郑州大学附属洛阳中心医院心外科,河南省洛阳市,471009)；陈兴澎(郑州大学附属洛阳中心医院心外科,河南省洛阳市,471009)；王亚宏(郑州大学附属洛阳中心医院心外科,河南省洛阳市,471009)； |
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| 摘 要： | 目的 探讨二尖瓣腱索断裂的手术方式和临床效果.方法 对40例二尖瓣腱索断裂患者的临床资料进行回顾分析,其中32例行瓣膜成形术,8例行二尖瓣置换术.结果 术后随访6～60个月.术后超声复查,瓣膜成形者无反流或轻微反流25例,轻度反流5例,中度反流2例.瓣膜置换者瓣膜功能均良好.结论 二尖瓣腱索断裂根据病理类型选择手术方式,二尖瓣成形术更为理想.
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| 关 键 词： | 二尖瓣 腱索断裂 外科治疗 |
Surgical treatment of mitral valve with ruptured chordae tendience |
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| LI Bin%CHEN Xing-peng%WANG Ya-hong. Surgical treatment of mitral valve with ruptured chordae tendience[J]. Chinese Journal of Cardiovascular Review, 2013, 11(9): 664-665 |
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| Authors: | LI Bin%CHEN Xing-peng%WANG Ya-hong |
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| Affiliation: | . Department of Cardiac Surgery, Zhengzhou University Affiliated Cen- tral Hospital of Luoyang, Luoyang 471009, China |
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| Abstract: | Objective To summarize the experience in surgical technique and clinical resuhs of treating mitral valve with ruptured chordae tendience. Methods The data of 40 patients suffered from mitral valve with ruptured chordae tendience were analyzed retrospectively, in which 32 cases underwent mitral valvuloplasty and 8 cases underwent mitral valve replacement. Results 40 patients were followed up for 6- 60 months. Ultrasonic cardiography showed no or only trace mitral regurgitation in 25 cases undergoing mitral valvuloplasty,mild MR in 5,and moderate MR in 2. Conclusion The way of surgical treatmen of mitral valve with ruptured chordae tendience depends on the mitral pathology and maybe think more ahead of mitral valvuloolasty |
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| Keywords: | Mitral valve Ruptured chordae tendience Surgical treatment |
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