应用自体心包扩大三尖瓣前叶联合人工瓣环成形治疗重度三尖瓣关闭（基础医学范文）.docVIP

应用自体心包扩大三尖瓣前叶联合人工瓣环成形治疗重度三尖瓣关闭（基础医学范文） 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：应用自体心包扩大三尖瓣前叶联合人工瓣环成形治疗重度三尖瓣关闭 1 文2：三尖瓣瓣环成形术临床研究现状 7 1 三尖瓣瓣环成形术的应用时机 8 2 三尖瓣瓣环成形术的主要术式 8 2.4 比较3种成形术 11 3.1 早期效果 12 3.2 远期效果 13 4 结论 13 参考文摘引言： 14 原创性声明（模板） 15 文章致谢（模板） 15 正文 应用自体心包扩大三尖瓣前叶联合人工瓣环成形治疗重度三尖瓣关闭（基础医学范文） 文1：应用自体心包扩大三尖瓣前叶联合人工瓣环成形治疗重度三尖瓣关闭 DOI：10.14163/j.cnki.11-5547.2018.11.005 【Abstract】 Objective To analyze the effect of autologous pericardium enlargement of anterior tricuspid leaflet combined with artificial valve annuloplasty in the treatment of severe tricuspid iufficiency. Methods A total of 60 severe tricuspid iufficiency patients all treated with autologous pericardium enlargement of anterior tricuspid leaflet and artificial valve annuloplasty， and their surgical condition was observed. The changes of Tei index， pulmonary artery systolic pressure （PASP） and right atrium before treatment and after 1 year of treatment was compared. Results 60 cases of severe tricuspid iufficiency were all successfully completed， and no death case was found. After operation， ultrasound examination revealed that there were 7 patients with mild tricuspid regurgitation， accounting for 11.67%， and 9 patients with minim tricuspid regurgitation， accounting for 15.00%. The difference in Tei index， PASP and right atrium of 60 patients with severe tricuspid iufficiency in postoperative 1 year was statistically significant， comparing with before treatment （t=16.56， 12.10， 11.76， P0.05）. Conclusion Combination of autologous pericardium enlargement of anterior tricuspid leaflet and artificial valve annuloplasty shows coiderable clinical effect in the treatment of severe tricuspid iufficiency. It is worthy of promotion. 【Key words】 Severe tricuspid iufficiency； Autologous pericardium enlargement of anterior tricuspid leaflet； Artificial valve annuloplasty 三尖瓣?P闭不全常继发于二尖瓣或主动脉瓣疾病， 其原因多为肺动脉高压或右心室腔扩大引起的功能性三尖瓣瓣环扩大引起， 少数病人同时合并三尖瓣风湿性改变（器质性）。 三尖瓣成形术并发症少， 患者死亡几率低， 是临床对三尖瓣关闭不全进行治疗