二尖瓣狭窄闭式扩张术的疗效探讨  

APPRAISEMENT OF THE RESULTS OF CLOSED COMMISSUROTOMY FOR MITRAL STENOSIS

作　　者：杨鲁民[1] 葛冰[1] 杜鹏君 吴元亨[1] 刘桂仙[1] 

机构地区：[1]青岛市人民医院胸心外科

出　　处：《山东医科大学学报》1996年第1期52-55,共4页Acta Academiae Medicinae Shandong

摘　　要：１９４例二尖瓣狭窄闭式扩张术后随访１４０例，随访２～１８ａ。术后２、６、１０ａ的优良进步率分别为９４．３％，８１．７％和６７．６％，５、１０、＞１０ａ的生存率分别为９７．１％，９２．３％和８４．２％。影响手术疗效的主要因素为：心功能等级、二尖瓣病理类型，有无二尖瓣返流及房颤。不同狭窄瓣口径和扩张直径的术后疗效无明显差异，只要严格掌握手术指征，闭式扩张术仍应做为风湿性二尖瓣狭窄的外科治疗方法之一。One hundred and forty out of 194 cases performed closed mitral commissuro tomy were followed up for2￣ 18 years(72. 2% ). Fine and progress rate was 94. 3% at 2 year, 81. 7 %at 6 year and 67. 7 % at 10 year after operations. Survival rate was 97. 1 % at 5 year, 92. 3%at 10 year and 84. 2%after 10 year. The results of surgical treatment were in fluenced by cardiac functions, mitral pathomorphology, mitral regurgitation and atrial fibrilla tion,but it didn' t vary with different diameter of the mitral stenosis and dilatation. The closed commissurotomy should be still an one of the surgical methods for rheumatic mitral stenosis as long as the operative indications are adopted strictly.

关 键 词：二尖瓣狭窄 心脏外科 随访 闭式扩张术 

分 类 号：R654.2[医药卫生—外科学]