犬黏液瘤样二尖瓣病手术疗法  

Surgical Therapies for Myxomatous Mitral Valve Disease in Dogs

作　　者：樊艾琳 易梓文 杨洛 周雪影 俞峰 李靖[1] 刘波[1] FAN Ai-lin;YI Zi-wen;YANG Luo;ZHOU Xue-ying;YU Feng;LI Jing;LIU Bo(College of Veterinary Medicine,China Agricultural University,Beijing,100193,China)

机构地区：[1]中国农业大学动物医学院,北京100193

出　　处：《动物医学进展》2022年第3期120-123,共4页Progress In Veterinary Medicine

摘　　要：犬黏液瘤样二尖瓣病是犬常见的获得性心脏病。临床大多以药物治疗为主,手术治疗为临床突破的方向。手术治疗方法分为二尖瓣替换术、二尖瓣修复术以及心脏介入疗法,三种方法各有优缺点及适用范围,前二者多需进行开胸手术且需要体外循环及心脏停跳技术的支持,其中二尖瓣替换术的即时效果较好,但预后不良;二尖瓣修复术操作更复杂,但预后良好;而心脏介入疗法因其创伤性小、可操作性高逐步成为临床应用热点。手术治疗对黏液瘤样二尖瓣病有很好的临床应用价值,其中介入疗法发展前景广阔。Myxomatous mitral valve disease is the most common acquired heart disease in dogs.At present,drugs are commonly used to control disease progression,and surgical treatments are the direction of clinical breakthrough.There are three types of surgical treatments:mitral valve replacement,mitral valve repair and cardiac interventional therapy.Each of the three methods has its own advantages and disadvantages and its scope of application.The first two require thoracotomy,cardiopulmonary bypass and cardiac arrest.The immediate effect of mitral valve replacement is better,but the prognosis is unfavourable;Mitral valve repair is more complicated,but the prognosis is favorable;Cardiac interventional therapy has gradually become a hot spot because of its small trauma and high operability.In conclusion,surgical treatment of myxomatoid mitral valve disease has considerable clinical value,and interventional therapy has a broad prospect.

关 键 词：犬 黏液瘤样二尖瓣病 二尖瓣替换术 二尖瓣修复术 心脏介入疗法 

分 类 号：S858.292[农业科学—临床兽医学]