功能性三尖瓣反流的外科治疗现状及研究进展  

Tricuspid annuloplasty surgery for functional tricuspid regurgitation:current state and perspectives

作　　者：韩雨 郑骏楠 Han Yu;Zheng Junnan(Department of Cardiac Surgery,the First Affiliated Hospital of Zhejiang University College of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院心外科,杭州310003

出　　处：《中华胸心血管外科杂志》2023年第2期114-121,共8页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：三尖瓣反流又称三尖瓣关闭不全(tricuspid regurgitation,TR),是收缩期三尖瓣瓣叶对合功能失调导致的血液在心脏收缩期从右心室回流到右心房的疾病。功能性TR不伴有明确的三尖瓣瓣膜病变,继发于左心病变出现,常伴有三尖瓣环的扩张。TR的主要治疗方法是通过三尖瓣成形术缩小扩大的瓣环,或通过三尖瓣置换术置换病变的瓣膜。三尖瓣成形术是目前治疗功能性TR最常用的手术方式,但目前TR的具体治疗策略仍有较多争议。本文针对三尖瓣成形术治疗TR的诊断评估、手术策略及预后等方面进行综述。Tricuspid regurgitation(TR)is a malocclusion of the tricuspid lobes during systole,resulting in blood returning from the right ventricle to the right atrium during systole.Functional TR is not associated with clear tricuspid valve disease,but is secondary to left heart disease and is often accompanied by dilation of the tricuspid ring.The main treatment for TR is to reduce the enlarged ring with tricuspid valvuloplasty or to replace the diseased valve with tricuspid valve replacement.Tricuspid valvuloplasty is the most common and safest surgical method for functional TR,but the specific treatment strategies for TR are still controversial.This article reviews the diagnostic evaluation,surgical strategy and prognosis of TR treated by tricuspid valvuloplasty.

关 键 词：三尖瓣成形术 三尖瓣关闭不全 三尖瓣置换术 三尖瓣环 三尖瓣反流 心脏收缩期 右心房 诊断评估 

分 类 号：R654.2[医药卫生—外科学]