自体心包条二尖瓣环成形术早期与近期疗效的超声评价  

Evaluation on Early and Recent Curative Effects of Mitral Annuloplasty with Autologous Pericardial Strip by Echocardiography

作　　者：李冬蓓[1] 黄云洲[1] 刘晓程[2] 陈铁男[2] 任书堂[1] 龙进[1] 李劼[1] 

机构地区：[1]泰达国际心血管病医院超声科,天津市300457 [2]泰达国际心血管病医院心脏外科,天津市300457

出　　处：《中国超声医学杂志》2009年第10期955-958,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的应用超声心动图评价自体心包条二尖瓣环成形术的早、近期疗效。方法应用超声心动图对33例行二尖瓣环成形术的患者进行术后即刻(17例)、术后1周(33例)、术后3个月(18例)的疗效观察,并与术前超声结果相比较,评价成形术效果。结果术后二尖瓣反流程度明显减轻(P<0.05);术后左心房、左心室内径明显缩小(P<0.05);术后1周左室射血分数略减低(P<0.05),术后3个月左室射血分数较术后1周明显提高(P<0.05);术后即刻、术后1周、术后3个月二尖瓣环成形术效果比较未见显著差异(P>0.05)。结论超声心动图实时直观、简便易行,可作为评价自体心包条二尖瓣环成形术首选的检查方法,且瓣环成形术早、近期疗效满意。Objective To evaluate the early and recent curative effects of mitral annuloplasty with autologous pericardial strip by Echocardiography. Methods Thirty-three patients who underwent mitral annuloplasty with autolo-gous pericardial strip were observed postoperatively instantly （n=17）, 1 week （n=33）, 3 months （n=18） and compared with the preoperative echocardiographic results. The curative effects of mitral annuloplasty were evaluated. Results The grade of mitral regurgitation decreased significantly postoperatively （P〈0.05）. A significant re- duction in left atrial and ventricular diameter appeared postoperatively （P〈0.05）. A slight reduction in left ventricular ejection fraction （LVEF） appeared 1 week postoperatively （P〈0.05）. A significant improvement in LVEF 3 months postoperatively appeared campared to that 1 week postoperatively （P〈0.05）. No remarkable differences appeared on the curative effects of mitral annuloplasty among instant postoperation, 1 week postoperation and 3 months postoperation （all P〉0.05） . Conclusions Echocardiography is real time, direct-viewing, simple and can be the preferred examination for evaluating the mitral annuloplasty with autologous pericardial strip. The early and recent curative effects of annuloplasty are satisfactory.

关 键 词：自体心包条 瓣环成形术 超声心动图 

分 类 号：R654.2[医药卫生—外科学] R734.2[医药卫生—临床医学]