风湿性二尖瓣成形术100例报告  

Report on 100 cases of rheumatic mitral valve diseasetreated with the valvuloplasty technique

作　　者：张新来[1] 邓玉普[1] 李学文[1] 邵展社[1] 高宏[1] 王宏涛[1] 胡泉 陈文生[1] 石践[1] 陈源[1] 

机构地区：[1]陕西省人民医院心脏外科研究所

出　　处：《中华外科杂志》1994年第1期8-11,共4页Chinese Journal of Surgery

摘　　要：作者对１００例风湿性二尖瓣病患者成功施行了瓣膜综合成形术，占同期风心病二尖瓣手术的９６％（１００／１０４）。单纯狭窄（３１／１００）、关闭不全（９／１００）以及狭窄合并关闭不全（６０／１００），术前９４例心功能为ＩＩＩ～ＩＶ级。全组早期死亡６例，随访半年～３．５年，晚期死亡６例，余存活病例９３．２％（８２例）心功能恢复至Ｉ～ＩＩ级。作者对风湿性二尖瓣成形术的手术方法作了重点介绍和讨论。并提出直视下判断二尖瓣功能修复满意的八条标准。Abstract100 cases of RMVD underwent MVP successfullyamong 104 RMVD patients(utilization of MVP :96%).The lesion sincluded :MS in 31 cases , MI in 9,both in 60. preoperative cardiac function status wasdass III to IV in 94 cases. There were 6 early deathsand 6 late deaths(follow-up:0.5～3. 5 years). Postop-erative cardiac function in 82 cases(93.2%)improvedto class I to II.The authors focus their discussion onspecific surgical technique and consider full functionalrecovery of mitral apparatus is the key for the successin MVP. The refined technique of removal .of calciumdeposits and thinning out of the proliferative fibrosis ofthe diseased valve have greatly increased the utilizationof MVP. Eight standards in judgement to produce sat-isfactory mitral function under directvision are de-scribed

关 键 词：成形术 二尖瓣 风湿性心脏病 

分 类 号：R654.2[医药卫生—外科学]