超声心动图在三尖瓣成形术中的应用.docVIP

超声心动图在三尖瓣成形术中的应用 　　【摘要】 目的：评价超声心动图在三尖瓣成形术中的应用价值。方法：将超声心动图用于118例三尖瓣关闭不全瓣膜成形患者，指导手术方式的选择并评估手术效果。结果：118例患者均成功实施三尖瓣成形术。经胸及经食道超声心动图检查方法对三尖瓣返流程度评估比较差异均无统计学意义（P0.05）。经胸超声心动图对中度返流和重度返流的探查结果与手术探查比较差异均有统计学意义（P0.05），而经食道超声心动图对重度返流的探查结果与手术探查比较差异有统计学意义（P0.05）。手术后经食道超声心动图检查方法对三尖瓣返流程度评估均明显优于手术前，差异均有统计学意义（P0.05）。结论：经胸及经食道超声心动图具有图像显示清晰、操作方便、迅速的特点，是评价心外科三尖瓣成形手术效果的有效方法，值得在临床上推广。 　　【关键词】 超声心动描记图； 三尖瓣成形术； 三尖瓣反流 　　中图分类号 R445.1 文献标识码 B 文章编号 1674-6805（2016）12-0068-02 　　Clinical Application of Echocardiography in Tricuspid Valve Plasty/LIU Xin-liang，CHEN Qian-su，HU Xuan-yi，et al.//Chinese and Foreign Medical Research，2016，14（12）：68-69 　　【Abstract】 Objective：To evaluate the clinical application value of echocardiography in tricuspid valve plasty.Method：Echocardiography was performed in 118 patients with tricuspid valve plasty，which guided the choice of operative methods and evaluated the operation effect.Result：All patients were successfully completed tricuspid valve plasty.There were no statistically significant differences in the degree of tricuspid regurgitation between the transthoracic and transesophageal echocardiography（P0.05）.The exploration results of moderate and severe reflux by transthoracic echocardiography compared with surgical exploration，the differences were statistically significant（P0.05）.The exploration results of severe reflux by transesophageal echocardiography compared with surgical exploration，the differences were statistically significant（P0.05）.The degree of tricuspid regurgitation by transesophageal echocardiography after surgery were significantly better than before surgery，the differences were statistically significant（P0.05）.Conclusion：Transthoracic or transesophageal echocardiography are effective examinations in tricuspid valve annuloplasty with clearly image，simplicity operation and promptness，and they are worth generalizing in clinic. 　　【Key words】 Echocardiography； Tricuspid valve plasty； Tricuspid regurgitation 　　First-author’s address：Guizhou M