三尖瓣人工软环形术的临床应用.pdfVIP

摘要 摘要 目的： 探讨三尖瓣人工软环成形术与缝线成形术相比是否具有更好的成形效果。 方法： 床资料。55例患者均为风湿性心脏病；三尖瓣成形中29例采用Kay成形术或De Vega成形术，26例行人工软环成形术。两组间在术前心功能分级、三尖瓣返流 程度、肺动脉压力无明显差异。 结果： 两组均无手术死亡，两组病人术后右心房、右心室缩小，与术前比较差别 均有显著性意义(尸O．05)，2组间差异有显著性意义。随访6个月，3例出现三 尖瓣重度反流在缝线组；在人工软环组未出现三尖瓣严重反流。 结论： 三尖瓣人工软环成形效果优于缝线成形术。 关键词： 三尖瓣关闭不全； 三尖瓣成形； 人工软环。 Abstract ABSTRACT objective： To the of withorwithoutaflexible compareefficacytricuspidvalve(TV)repair in with ringpatientssecondarytricuspidinsufficiency． Methods： Therecordsof55 whounderwentfor patients surgerysecondarytricuspid between 2005andDecember2007werereviewed insufficiencyJanuary wererheumaticheart retrospectively．Allpatients disease．Twenty-ninepatients underwentDe or hadaflexible VegaKaysannuloplasty,andTwenty-six ring differenceswereobservedinNYHA annuloplasty．Nosignificantpreoperative functional between class，tricuspidinsufficiencygrade，andpulmonaryarterypressure thetwo groups， Results： All recoveredafter survivedand the hada patients operation．Allpatients reductionof atrialdiameterand ventricularenddiastolicdiameterintwo right right after Was differencebetweentwo groupsoperation．Theresignificant groups．Followed 6months，thereare3casessevere innonflexible up tricuspidregurgitation ring；there area’tsevere inflexible