三尖瓣瓣膜置换术的临床分析  

Tricuspid Valve Replacement: A Report of 13 Cases

作　　者：王湘[1] 陈长春[1] 李刚[1] 谭敏[1] 计乐群[1] 杨建安[1] 王志伟[1] 陈伟新[1] 姬尚义[1] 

机构地区：[1]孙逸仙心血管医院心外科,广东深圳518020

出　　处：《中国胸心血管外科临床杂志》2007年第1期16-19,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的总结13例三尖瓣置换术(TVR)的临床经验,探讨手术指征和方法。方法回顾性分析我院1994年1月至2005年12月收治的13例三尖瓣病变患者的临床资料,其中风湿性心脏病6例,先天性心脏病3例,感染性心内膜炎3例,右心室肿瘤1例,均行TVR。结果早期死亡2例,均为风湿性心瓣膜病再次手术患者,术前心功能均为Ⅳ级。随访11例,随访时间3个月-12年,晚期死亡2例,1例为感染性心内膜炎复发,另1例为右心室肿瘤;1例Ebste-in畸形患者心功能恢复至Ⅲ级,8例心功能恢复至Ⅰ-Ⅱ级。结论三尖瓣病变可继发于多种疾病,严格掌握TVR适应证,用机械瓣行TVR治疗三尖瓣病变效果满意。Objective To summarize the clinical experience of 13 patients of tricuspid valve replacement and to investigate the indication and method. Methods From January 1994 to December 2005, the clinical datum of the thirteen patients suffering from tricuspid valve disease were reviewed, including rheumatic heart disease 6 cases, congenital heart disease 3 cases, infective endocarditis 3 cases and right ventricular tumor 1 case. All the cases underwent tricuspid valve replacement. Results Two reoperative rheumatic heart disease patients died early after operation and their cardiac function was New York Heart Association （NYHA） class Ⅳ before operation. The follow-up interval was 3 months to 12 years in 11 cases. There were 2 late death, one died of recurrence of infective endocarditis, and another died of the recurrence of the tumor. One Ebstein anomaly case＇s NYHA functional recovered to class Ⅱ , eight cases＇s recovered to NYHA class Ⅰ - Ⅱ. Conclusion The tricuspid valve disease may be a secondary lesion from many causes. Indication of tricuspid valve replacement must be strictly commanded. The late results of tricuspid valve mechanical prostheses replacement is satisfactory.

关 键 词：三尖瓣置换术 机械瓣 心脏瓣膜疾病 

分 类 号：R654.2[医药卫生—外科学]