右房室瓣成形环治疗右房室瓣关闭不全的近期疗效分析  

Short-term result of prosthetic ring annaloplasty used in patients with tricuspid valve insufficiency

作　　者：唐燕华[1] 徐建军[1] 胡大仁[1] 王一明[1] 

机构地区：[1]南昌大学医学院第二附属医院心胸外科,江西省南昌330006

出　　处：《中国基层医药》2008年第10期1614-1615,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的总结人工瓣环治疗右房室瓣关闭不全的近期疗效。方法对34例器质性或功能性右房室瓣中度或重度关闭不全患者使用人工瓣环行右房室瓣环缩术，同时行房间隔、室间隔及瓣膜修补术。结果无手术及住院死亡，术后1周复查超声心动图示右心室、肺动脉明显缩小。右房室瓣关闭良好21例，残余轻度返流11例，中度返流2例。结论对器质性或功能性右房室瓣关闭不全应积极行瓣膜成形术，人工瓣成形环的应用可取得可靠的临床效果。Objective To discuss the short-term results of tricuspid valve annuloplasty with prosthetic ring. Methods Tricuspid valve annuloplasty with prosthetic ring was performed in 34 patients with organic or functional tricuspid valve insufficiency. At the same time atrial septal defect and ventricular septal defect were closed valve replacement was done. Results There was no in-hospital death. Eehocardiography was done about one week after operations, which showed that right ventricle or pulmonary artery were smaller than that before operation in all patients and residual tricuspid valve insufficiency was found mild in 11 cases, moderate in 2 cases. Conclusion Tricuspid valve annuloplasy should be performed in patients with organic or functional tricuspid valve insufficiency. Better short-term results may be got when prosthetic ring was used to small tricuspid annulus.

关 键 词：三尖瓣闭锁不全 心脏外科手术 心脏瓣膜 人工 

分 类 号：R65[医药卫生—外科学]