917例瓣膜手术病人的随访研究  

Follow-up of valve operation： a report of 917 cases

作　　者：薛松[1] 王颍骅[1] 郑家豪[1] 成少飞[1] 黄日太[1] 朱洪生[1] 

机构地区：[1]上海交通大学医学院附属仁济医院心胸外科,200127

出　　处：《中华胸心血管外科杂志》2008年第4期239-241,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的评价瓣膜手术的近期和远期疗效，分析影响手术疗效的因素。方法回顾性分析1996年1月至2005年12月917例瓣膜手术病人的术前、术后中长期随访的临床资料。经t检验、X^2检验、logistic单因素分析、Logistic多因素回归分析得出早期死亡的危险因素，经Kaplan-Meier方法获得生存曲线。结果本组术后住院病死率5．12％。随访805例，失访112例，晚期死亡33例。随访最短6个月，最长10年。结论手术时机的选择、对缺血性二尖瓣和中度以上功能性三尖瓣关闭不全进行适当处理、采用低强度抗凝治疗方案是应当重视的几个方面。Objective To analyze the early and late restdts after valve operation and the determinants involved and subsequent therapies. Methods 917 patients receiving valve operation from Jan. 1996 to Dec. 2005 were reviewed. Data were analyzed for the determinants of early death. The survival curves were eaculated by Kaplan-Meier method. Results The hospital mortality was 5.19%. 805 survivors were followed-up. 33 patients died during the follow-up. The shortest follow-up was 6 months while the longest was ten years. Conclusion Timing of operation, management of ischemic mitral regurgitation and moderate functional tricuspid regurgitation and determinant factors for outcomes. Low intensity anticoagulant regimens are important.

关 键 词：心脏瓣膜疾病 心脏外科手术 随访研究 

分 类 号：R686[医药卫生—骨科学]