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find Keyword " 三尖瓣反流" 2 results
  • 51例Ebstein畸形的外科治疗

    目的 总结Ebstein 畸形的外科治疗经验。 方法 回顾性分析2002年1月至2011年8月河南省胸科医院51例Ebstein畸形患者经外科手术治疗的临床资料,其中男22例,女29例;平均年龄15.8 (0.8~48.0)岁;平均体重35.3 (7.0~68.0) kg。Carpentier分型A型12例、B型34例、C型5例。超声心动图(UCG)提示:三尖瓣轻度反流7例,中度反流8例,重度反流36例。手术中应用褥式缝合上提隔瓣和后瓣,平行折叠房化右心室加三尖瓣环缩术21例,Carpentier法8例,二瓣化法11例,纵向折叠房化心室加三尖瓣成形术4例,三尖瓣机械瓣置换术3例,生物瓣置换术2例;另有2例因右心室发育不良仅做双向格林手术。17例患者于三尖瓣成形术后加做双向格林手术。 结果 围术期死亡2例,均死于低心排血量。术后随访49例,平均随访时间32 (2~102)个月。随访期间心功能分级(NYHA)Ⅰ级30例、Ⅱ级19例;三尖瓣中度反流8例,轻度反流6例,无反流35例。3例三尖瓣机械瓣置换术患者的机械瓣、2例生物瓣置换术的生物瓣功能均正常。患者恢复正常的生活或工作,无需再次手术患者。 结论 对Ebstein 畸形要根据不同的病情采取相应的手术治疗方法,可以获得良好的手术效果。

    Release date:2016-08-30 05:51 Export PDF Favorites Scan
  • Clinical Outcomes of Tricuspid Annuloplasty Using a C-type Ring Made of Autologous Pericardium

    Abstract: Objective To evaluate clinical outcomes of tricuspid annuloplasty using a C-type ring made of autologous pericardium for the treatment of functional tricuspid regurgitation (TR). Methods Eleven patients underwent tricuspid annuloplasty in Guizhou Provincial People’s Hospital between March 2009 and January 2011, including 5 male patients and 6 female patients with their age of 32-57 (43.80±12.20) years. There were 3 patients with mild TR, 7 patients with moderate TR, and 1 patient with severe TR. Concomitant procedures included mitral valve replacement and/or aortic valve replacement and/or left atrial thrombectomy. The C-type ring was created using a strip of pericardium after 0.8% glutaraldehyde fixation for 15 minutes. Interrupted horizontal mattress suture was used to secure the C-type ring to the tricuspid annulus. Hear function and echocardiography were examined during follow-up. Results There was no in-hospital death, and the hospital stay was 15-28 (21.10±3.80) days. All the patients were followed up for 8-28 (18.50±7.00)months. There was no death or reoperation because of TR or tricuspid stenosis during follow-up. Ten patients had TR during follow-up, including 9 patients with mild TR and 1 patient with mild to moderate TR, but there was no patient with severe TR. The degree of TR during follow-up was significantly reduced than preoperative degree (Z =-2.81,P<0.05). Preoperative and postoperative right ventricular dimension (19.95±5.11 mm vs. 21.57±12.81 mm,P=0.705) and right atrial dimension(37.55±6.79 mm vs. 35.55±5.22 mm,P=0.317)were not statistically different. Conclusion Tricuspid annuloplasty using a C-type ring made of autologous pericardium has satisfactory clinical outcomes for patients with functional TR.

    Release date:2016-08-30 05:51 Export PDF Favorites Scan
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