摘要
目的为开拓二尖瓣成形术 (MVP)的临床应用。 方法 2 7例二尖瓣成形术患者术前心脏彩超示二尖瓣 (MV)重度返流 11例 ,中～重度 6例 ,中度 8例。 5例兼MV狭窄 (MS) ,2例为单纯MS。 2 7例二尖瓣病变中 ,15例为退行性 ( 5 6 %) ,8例为风湿性 ,4例为缺血性。 结果术后用食管超声检测无返流 14例 ,少量返流 8例 ,轻度返流 3例 ,轻～中度 2例。无手术死亡。有 10例随访 6个月至 2年 ,4例无二尖瓣返流 ,4例少量返流 ,2例轻度返流。病人症状明显改善 ,体力恢复 ,心功能上升至 0级 1例 ,Ⅰ级 6例 ,Ⅱ级 3例。 结论二尖瓣成形术对退行性和缺血性二尖瓣病变患者是一种良好的选择 ,亦可选择性应用于风湿性病变患者。
Objective To explore the clinical application of mitral valve plasty (MVP). Twenty-seven adult patients undergoing MVP were analyzed. Methods Trans-esophageal echocardiography (TEE) before operation showed the degree of mitral regurgitation (MR) was severe in 11 mode_ rate to severe in 6 and moderate in 8 patients. Among them 5 were accompanied with mitral stenosis (MS), and two patients had pure MS. The lesions of the mitral valve were: degenerative in 15 (56%); rheumatic in 8; and in ischemic 4. Results TEE after operation showed no MR in 14; little in 8; mild in 3 and mild to moderate in 2. There was no operative mortality. Ten patients were followed up for 6 months to 2 years. TEE showed no MR in 4 and little in 2. All the symptoms were improved and physical activities recovered. Cardiac functions were: grade 0 in 1, grade Ⅰ in 6, and grade Ⅱ in 3. Conclusion MVP is a good choice for the treatment of degenerative and ischemic MV disease. It can also be used in rheumatic heart disease patients.
出处
《上海第二医科大学学报》
CSCD
2002年第4期338-340,共3页
Acta Universitatis Medicinalis Secondae Shanghai
基金
上海市卫生局百人计划基金资助项目 (BR0 1 1 )
