无症状重度主动脉瓣狭窄患者手术与非手术治疗探讨  

Study on Treatment of Surgical or Non-surgical for Asymptomatic Patients with Severe Aortic Stenosis

作　　者：杨崇毛[1] 陈贵和[1] 李治[1] 黄凯[1] 

机构地区：[1]南华大学附属怀化医院,湖南怀化418000

出　　处：《罕少疾病杂志》2014年第2期50-52,60,共4页Journal of Rare and Uncommon Diseases

摘　　要：目的比较无症状重度主动脉瓣狭窄患者手术治疗与非手术治疗心源性死亡率的差别。方法分析我院心脏外科2007年1月-2010年12月122名无症状重度主动脉瓣狭窄患者心源性死亡率,手术组65例,行主动脉瓣置换手术,非手术组57例选择常规治疗。结果手术组心源性死亡率明显低于非手术组。结论对于无症状的重度主动脉瓣狭窄患者手术及非手术治疗,仍存在争议,但若存在高危因素,则需考虑行手术治疗。Objective To compare the cardiac mortality of asymptomatic patients with severe aortic stenosis treated by surgical or non-surgical. Methods To analyze 122 patients cardiac mortality which were asymptomatic patients with severe aortic stenosis from January 2007 to December 2010 in the department of cardiac surgery. Among of them, 65 of the patients received aortic valve replacement, 57 underwent conventional treatment. Results surgical group of cardiac mortality was significantly lower than the non-surgical group. Conclusions Surgical and non-surgical treatment for asymptomatic patients with severe aortic stenosis is still controversial. But if there are risk factors, surgical treatment need to be considered.

关 键 词：无症状重度主动脉瓣狭窄 手术治疗 非手术治疗 

分 类 号：R542.52[医药卫生—心血管疾病] R645.2[医药卫生—内科学]