临床应用改良DeVega术进行三尖瓣成形疗效随机平行对照研究.docxVIP

临床应用改良DeVega术进行三尖瓣成形疗效随机平行对照 研究 (大连医科大学附属二院心脏外科 辽宁大连116027) 【摘要】目的：研究分析改良DeVega术进行三尖瓣成形临床疗效，旨在提 高临床心脏外科医疗水平。方法：采用随机平行对照方法，对我院20□年9月 -2014年9月间心脏外科收治的169例继发性三尖瓣关闭不全患者实施改良 DeVega术进行三尖瓣成形所取得的临床疗效进行回顾性分析。结果169例患者， 术后出院前未出现三尖瓣反流者122例，少量三尖瓣反流者47例，出院后随访 期间未出现三尖瓣反流者116例，少量三尖瓣反流者53例，所有患者术后三尖 瓣反流情况均明显改善，P0.05有显著性差异，具有统计学意义，结论：临床 应用改良DeVega术进行三尖瓣成形临床疗效显著，且明显提高患者的远期生活 质量和生存率。 【关键词】改良DeVega术；三尖瓣成形；临床应用；随机平行对照研究 【中图分类号】R615 【文献标识码】A 【文章编号】1007-8231 (2016) 21-0079-02 Clinical application of modified DeVega tricuspid surgery were randomized parallel group study of the efficacy Jihong-liu Yongcai-liang Chunqi-wu Junlong-wang Chenglin-qu Dalian Central Hospital, Dalian City, Liaoning Provinee, Postal Code: 116003,China [Abstract] Objective To investigate the analysis improved DeVega tricuspid surgery performed clinical efficacy, clinical cardiac surgery aimed at improving medical standards. Methods A randomized parallel control method in our hospital between September 2011 ? September 2014 heart surgery treated 169 cases of sec on dary tricuspid regurgitati on surgery for patie nts with improved clin ical efficacy DeVega tricuspid be achieved retrospective analysis. Results Of 169 cases of patients with tricuspid regurgitation were 122 cases did not appear before after discharge, a small number were 47 cases of tricuspid regurgitation, tricuspid regurgitation were 116 cases did not appear during the follow-up after discharge, a small amount of tricuspid regurgitation stream 53 patients, all patients were tricuspid regurgitation cases were sign讦icantly improved, Plt;0.05 significant differenee was statistically sign讦icant, the clinical application of mochfied Conclusion DeVega tricuspid surgery were sigrdficant clinical effect, and sigrdficantly improve the pat:ienf s Iong-term quality of life and survival. 【Key words] Mod讦ied DeVega surgery; Tricuspid; Clinical application; Randomized parallel group study 目前继发性三尖瓣关闭不全的病因尚不完全清楚，故而其临床处理，日益成 为困惑广大临床心脏外科医生的一个问题。原发性单纯继发性三尖瓣关闭不全非 常少见，常是后天性