“双孔”技术治疗二尖瓣关闭不全的临床应用  

"Double-Orifice" technique for repair of mitral valve insufficiency

作　　者：徐建军[1] 喻东亮[1] 王一明[1] 彭金华[1] 江涵[1] 刘燕娜[1] 陈朋[1] 

机构地区：[1]江西医学院二附院心胸外科,南昌330006

出　　处：《江西医药》2005年第4期191-192,共2页Jiangxi Medical Journal

摘　　要：目的总结“双孔”二尖瓣成形术治疗二尖瓣关闭不全的临床经验。方法自2002年10月～2004年7月对7例二尖瓣存在关闭不全的病人施行了“双孔”二尖瓣成形术,其中男5例,女2例,年龄15～57岁,平均35.6±19.2岁。其中单纯二尖瓣关闭不全4例,合并左房粘液瘤1例,先心房缺1例,扩张性心肌病1例。心功能Ⅰ级2例,Ⅱ级2例,Ⅲ级3例。术中分别行二尖瓣“双孔”成形术和二尖瓣环缩环术,同期矫治原发病。结果术后52d死亡1例,其余病人无术后并发症、无再次手术。术后1周彩超复查:5例无返流或微量返流、1例轻度返流,出院后随访2～18个月,心功能Ⅰ-Ⅱ级,效果满意。结论“双孔”二尖瓣成形术是一种简单、有效的手术方法。Objective To report the clinical experience 'double-orifice' technique for repair of mitral valve insufficiency( MI ). Methods From Oct 2002 to July 2004, 7 patients underwent 'double-orifice' operation for mitral valve insufficiency. There were 5 males and 2 females with a mean age of 35.6±19.2 years ( from 15 years to 57 years ). Echocardiography demonstrated simple MI in 5 cases and MI combined with ASD, left atrial myxoma and dilated cardiomyopathy in 1 case respectively. The cardiac function was NYHA class Ⅰ in 2 cases, class Ⅱ in 2 and class Ⅲ in 3. Double-orifice operation was performed in all patients. Results There was only one postoperative death. All others were clinically asymptomatic after surgery, and were follow up from 2 to 18 months. No significant mitral valve insufficiency, except slight insufficiency in 1 case, was found and the cardiac function was significantly improved. Conclusion The 'Double-Orifice' technique is a simple and effective procedure.

关 键 词：二尖瓣关闭不全 双孔 临床应用 治疗 二尖瓣成形术 2002年10月 扩张性心肌病 2004年 左房粘液瘤 术后并发症 临床经验 再次手术 效果满意 手术方法 心功能 原发病 返流 出院后 病人 

分 类 号：R654.2[医药卫生—外科学] R542.2[医药卫生—临床医学]