人工腱索技术治疗儿童二尖瓣关闭不全的研究进展  

Surgical treatment for mitral valve regurgitation in children by artificial chords

作　　者：刘顺 董硕 邹孟轩 孙阳雪 杜楚豪 董捷 李守军 闫军 LIU Shun;DONG Shuo;ZOU Mengxuan;SUN Yangxue;DU Chuhao;DONG Jie;LI Shoujun;YAN Jun(Department of Pediatric Cardiac Surgery,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,P.R.China)

机构地区：[1]中国医学科学院、北京协和医学院、国家心血管病中心、阜外医院、小儿心脏外科,北京100037

出　　处：《中国胸心血管外科临床杂志》2024年第12期1855-1858,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：中国医学科学院临床与转化基金(2020-I2M-C&T-B-060)。

摘　　要：人工腱索技术是一种比较成熟的二尖瓣修复技术,尤其是在成人二尖瓣修复中取得了很好的效果。由于儿童二尖瓣本身存在质地脆弱、瓣膜尚处在发育阶段等问题,利用人工腱索技术进行儿童二尖瓣修复仍具有一定的挑战性,在缝合方式、缝线尺寸及人工腱索的放置数量方面也有一定的不同。人工腱索自身虽然无法自然生长,但是通过长期随访发现机体本身可以通过瓣叶和乳头肌的生长来代偿,从而避免二尖瓣活动受限甚至腱索断裂的情况。本文总结了近年来关于利用人工腱索技术治疗儿童二尖瓣关闭不全的研究进展,为临床治疗提供参考。Artificial chord is a mature mitral valve repair technique,especially in adult mitral valve repair.It is still challenging to repair mitral valve in children with artificial chords because the quality of mitral valve is soft and immature.There are some differences in the methods of suture,the choice of suture size and the number of artificial chords.Although the artificial chords could not grow naturally,we found through the long-term research that most children did not have mitral valve restriction or even chords rupture due to itself can compensate through the growth of the flap and papillary muscle.This article summarizes the recent research progress on the treatment of mitral valve insufficiency in children with artificial chords,providing reference for clinical treatment.

关 键 词：人工腱索 儿童 二尖瓣关闭不全 外科治疗 综述 

分 类 号：R726.5[医药卫生—儿科]