人工腱索联合成形环治疗二尖瓣脱垂并关闭不全的效果观察  

Effect observation of artificial chordae combined with bicuspid ring in the treatment of mitral prolapse complicated with insufficiency

作　　者：朱伯卫[1] 陈凯明[1] 赖锋华[1] 刘浪[1] 林世廷[1] 陈泽科[1] ZHU Bo-wei;CHEN Kai-ming;LAI Feng-hua;LIU Lang;LIN Shi-ting;CHEN Ze-ke(Ward 3 in Department of Cardiovascular Surgery,Gaozhou People′s Hospital,Guangdong Province,Gaozhou 525200,China)

机构地区：[1]广东省高州市人民医院心血管外科三区,广东高州525200

出　　处：《中国当代医药》2018年第10期53-55,共3页China Modern Medicine

摘　　要：目的探讨人工腱索联合成形环治疗二尖瓣脱垂并关闭不全的临床效果。方法选取2014年5月~2017年10月在我院进行治疗的65例二尖瓣脱垂合并关闭不全患者,采用住院病历尾号单复数法分为对照组(n=33)和实验组(n=32)。实验组患者在胸骨正中部位做切口,在体外循环下进行人工腱索种植以及二尖瓣成形环植入手术治疗,对照组给予二尖瓣置换术进行治疗。观察治疗前后患者的左心室舒张末直径(LNDD)、左室射血分数(LVEF)、左心房直径(LAD)指标情况。结果治疗后所有患者均无死亡,实验组患者术后LNDD、LVEF、LA指标水平均较对照组明显好转,差异有统计学意义(P<0.05)。实验组患者的并发症总发生率明显低于对照组(P<0.05)。结论针对二尖瓣脱垂合并关闭不全患者,在体外循环下进行人工腱索种植以及二尖瓣成形环植入手术联合治疗的效果显著,并发症少,可改善心功能,临床推广应用价值较高。Objective To investigate the clinical effect of artificial chordae combined with bicuspid ring in the treatment of mitral prolapse complicated with insufficiency.Methods Sixty-five patients with mitral prolapse complicated with insufficiency treated in our hospital from May 2014 to October 2017 were selected.They were divided into the control group(n=33)and experimental group(n=32)based on the singular and plural number of medical records.An incision was made in the middle of the sternum in patients of the experimental group,and the experimental group was treated with artificial tendon planting and mitral annuloplasty ring implantation under extracorporeal circulation while the control group was treated with mitral valve replacement.The left ventricular end diastolic diameter(LNDD),Left ventricular ejection fraction(LVEF)and left atrium diameter(LAD)before and after treatment in patients were observed.Results No death case occurred in all participants after therapy.The indicators of LNDD,LVEF and LAD in the experimental group were significantly improved compared with the control group with statistical differences(P<0.05).The total incidence of complications in the experimental group was significantly less than that in the control group(P<0.05).Conclusion For patients with mitral prolapse complicated with insufficiency,the effect of artificial tendon planting and mitral annuloplasty ring implantation under extracorporeal circulation is significant with few complications,which can improve the cardiac function,and has a higher value for clinical application and promotion.

关 键 词：人工腱索 成形环 二尖瓣脱垂 二尖瓣关闭不全 效果 

分 类 号：R542.51[医药卫生—心血管疾病]