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二尖瓣修复技术治疗非缺血性二尖瓣返流的临床效果

刘兴荣 张超纪 刘剑州 苗齐 马国涛 曹丽华 李晓凤

刘兴荣, 张超纪, 刘剑州, 苗齐, 马国涛, 曹丽华, 李晓凤. 二尖瓣修复技术治疗非缺血性二尖瓣返流的临床效果[J]. 协和医学杂志, 2014, 5(4): 437-440. doi: 10.3969/j.issn.1674-9081.2014.04.017
引用本文: 刘兴荣, 张超纪, 刘剑州, 苗齐, 马国涛, 曹丽华, 李晓凤. 二尖瓣修复技术治疗非缺血性二尖瓣返流的临床效果[J]. 协和医学杂志, 2014, 5(4): 437-440. doi: 10.3969/j.issn.1674-9081.2014.04.017
Xing-rong LIU, Chao-ji ZHANG, Jian-zhou LIU, Qi MIAO, Guo-tao MA, Li-hua CAO, Xiao-feng LI. Clinical Outcome of Mitral Valve Repair for Non-ischemic Mitral Regurgitation[J]. Medical Journal of Peking Union Medical College Hospital, 2014, 5(4): 437-440. doi: 10.3969/j.issn.1674-9081.2014.04.017
Citation: Xing-rong LIU, Chao-ji ZHANG, Jian-zhou LIU, Qi MIAO, Guo-tao MA, Li-hua CAO, Xiao-feng LI. Clinical Outcome of Mitral Valve Repair for Non-ischemic Mitral Regurgitation[J]. Medical Journal of Peking Union Medical College Hospital, 2014, 5(4): 437-440. doi: 10.3969/j.issn.1674-9081.2014.04.017

二尖瓣修复技术治疗非缺血性二尖瓣返流的临床效果

doi: 10.3969/j.issn.1674-9081.2014.04.017
详细信息
    通讯作者:

    苗齐 电话:010-69152820, E-mail:miaoqipumc@hotmail.com

  • 中图分类号: R654.2

Clinical Outcome of Mitral Valve Repair for Non-ischemic Mitral Regurgitation

More Information
  • 摘要:   目的  总结二尖瓣修复技术用于治疗非缺血性二尖瓣返流的临床效果。  方法  回顾分析北京协和医院2001年1月至2012年12月行二尖瓣成形术的连续104例非缺血性二尖瓣返流患者的临床资料。其中男性58例, 女性46例, 平均年龄(45.3±16.8)岁(9~77岁), 均在体外循环下择期行二尖瓣成形术, 采取适当方法修复瓣叶, 并放置相应型号的人工瓣环。  结果  术中修复成功率96.2%(100/104)。术后1例患者死于多器官功能衰竭, 死亡率0.96%。1例患者手术后发生肾功能衰竭需要短暂肾替代治疗。中位随访时间46个月(8~141个月), 失访8例。随访期间1例患者死于肿瘤, 二尖瓣返流复发加重3例, 其中2例再次手术行二尖瓣置换。免于二尖瓣返流率为96.7%(88/91), 免于再次手术率为97.8%(89/91)。  结论  二尖瓣成形术应作为治疗非缺血性二尖瓣返流的首选术式。采取适当的修复技术, 可以获得满意的近远期效果。
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出版历程
  • 收稿日期:  2013-09-25
  • 刊出日期:  2014-10-30

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