二尖瓣成形术治疗二尖瓣反流临床效果观察.docVIP

二尖瓣成形术治疗二尖瓣反流临床效果观察 　　 　　 　　[摘要] 目的 总结和分析二尖瓣成形术治疗二尖瓣反流的临床效果。 方法 回顾性分析2011年1月～2012年6月本院心外科采用二尖瓣成形术治疗的150例二尖瓣反流患者的临床资料，观察临床疗效。 结果 术后发生心功能不全19例，肾功能不全7例，因胸腔引流量增多而再次开胸止血4例，给予相应的对症治疗后，上述患者治愈出院。术后复查心脏超声示，所有患者均未见二尖瓣狭窄，32例无二尖瓣反流（0级），75例微量反流（Ⅰ级），38例轻度反流（Ⅱ级），5例轻至中度反流（Ⅲ级）。住院期间无死亡病例，随访时间4～18个月。患者术后3个月的心功能和心脏大小较术前改善（P＜0.05），术后5、7个月时各有1例因脑血管意外死亡。 结论 综合运用多种二尖瓣成形术治疗二尖瓣中重度反流，可获得良好的临床疗效。 　　[关键词] 二尖瓣反流；二尖瓣成形术；临床效果 　　[中图分类号] R542.5[文献标识码] B[文章编号] 1674-4721（2014）05（b）-0168-03 　　 　　Clinical effect observation of mitral valvuloplasty in the treatment of mitral regurgitation 　　GUO Jian-zhou YANG Jian-an MA Yan-yan WANG Zhi-wei 　　Department of Surgery,Sun Yat-Sen Cardiovascular Hospital in Shenzhen City,Shenzhen 518000,China 　　[Abstract] Objective To summarize and analyze clinical effect of mitral valvuloplasty in the treatment of mitral regurgitation. Methods Clinical data as well as operative plans and clinical effect from 150 patients with mitral regurgitation who underwent mitral valvuloplasty from January 2011 to June 2012 in cardiac surgery department of our hospital were retrospectively analyzed.The effect was observed. Results After surgery,19 cases presented with cardiac insufficiency,7 with renal insufficiency and 4 cases undergone thoracic surgery again to stanch bleeding due to increasing drainage volume in thorax.The corresponding symptomatic treatments were provided and then all these patients mentioned above were cured and discharged from hospital.The postoperative cardiac ultrasonography for reexaminations indicated that no patient occurred with mitral stenosis,32 cases without mitral regurgitation(grade 0),75 with slight regurgitation(grade Ⅰ),38 with mild regurgitation(grade Ⅱ)and 5 in mild to moderate regurgitation(grade Ⅲ).During hospital stay period,no death case occurred.The follow-up visits lasted 4 to 18 months.Patient′s cardiac function and size of heart 3 months after surgery were remarkably improved.There were two dead cases in total due to cerebral vascular accid