重度肺动脉瓣反流的外科处理体会  

Surgical managements of severe pulmonary regurgitation

作　　者：向水[1] 董念国[1] 刘金平[1] 陈新忠[1] 苏伟[1] 孙宗全[1] 

机构地区：[1]华中科技大学附属协和医院心外科,武汉430022

出　　处：《临床心血管病杂志》2013年第3期224-226,共3页Journal of Clinical Cardiology

摘　　要：目的:探讨肺动脉瓣重度反流的外科处理方法。方法:回顾性分析我科2007-01-2011-12肺动脉瓣置换5例和肺动脉瓣缩环6例患者的临床资料。结果:所有患者均顺利度过围手术期并康复出院,肺动脉瓣反流消失或明显减轻,右房、右室明显缩小,临床症状缓解。随访4～38个月,心功能Ⅰ级2例,Ⅱ级9例,生活质量良好。结论:对肺动脉瓣重度反流应采取积极的外科干预措施,可行瓣膜置换和瓣环缩环,术后可明显改善远期预后。Objective：To assess outcomes of patients with severe pulmonary regurgitation under different types of surgery. Method：A retrospective analysis of 5 cases with pulmonary valve replacement （PVR） and 6 patients with pulmonary valve plasty （PVP） contraction were conducted. Result： All patients successfully passed the operation period and were discharged from the hospital, pulmonary regurgitation disappeared or significantly relieved, right ventrieular and right atrial size significantly reduced, and clinical symptoms alleviated. Follow-up for 4--38 months, 2 eases with cardiac function of grade Ⅰ , 9 cases of grade Ⅱ , all the cases had a good quality of life. Conclusion：Positive surgical interventions, such as PVR and PVP, should be considered in severe pulmonary valve reflux, which could significantly improve long-term prognosis.

关 键 词：肺动脉瓣反流 外科处理 肺动脉瓣置换 肺动脉瓣缩环 

分 类 号：R654.3[医药卫生—外科学]