|本期目录/Table of Contents|

[1]余 森,王 云.人工腱索在二尖瓣成形术中的应用效果[J].宁夏医科大学学报,2019,(06):589-592.[doi:10.16050/j.cnki.issn1674-6309.2019.06.010]
 YU Sen,WANG Yun.Application of Artificial Tendons in Mitral Valvuloplasty[J].Ningxia Medical University,2019,(06):589-592.[doi:10.16050/j.cnki.issn1674-6309.2019.06.010]
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人工腱索在二尖瓣成形术中的应用效果(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2019年06期
页码:
589-592
栏目:
经验交流
出版日期:
2019-06-30

文章信息/Info

Title:
Application of Artificial Tendons in Mitral Valvuloplasty
文章编号:
1674-6309(2019)06-0589-04
作者:
余 森1 王 云2
(1. 宁夏医科大学,银川 750004; 2. 宁夏医科大学总医院,银川 750004)
Author(s):
YU Sen1 WANG Yun2
(1. Ningxia Medical University, Yinchuan 750004,China; 2. General Hospital of Ningxia Medical University,Yinchuan 750004, China)
关键词:
二尖瓣关闭不全二尖瓣成形术人工腱索
Keywords:
mitral insufficiencymitral valvuloplastyartificial chordae tendineae
分类号:
R654.2
DOI:
10.16050/j.cnki.issn1674-6309.2019.06.010
文献标志码:
A
摘要:
目的 观察人工腱索在二尖瓣成形术治疗二尖瓣关闭不全的效果。方法 选取2016年1月-2018年1月因二尖瓣返流就诊于宁夏医科大学总医院行二尖瓣成形术治疗的患者共32例,按照不同手术方式分为成形环组(n=14)和成形环+人工腱索组(n=18)。收集两组患者术前、出院前及术后12个月的心脏彩超测量结果,比较两组患者左心结构指标左房内径(LAD)、左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、射血分数(EF)的变化,及两组患者术前、术后二尖瓣返流情况。结果 术中两组患者主动脉阻断和体外循环时间差异均无统计学意义(P均>0.05)。成形组与人工腱索组LAD、LVEDD、LVEF组内比较差异均有统计学意义(P均<0.05),而LVESD组内比较差异无统计学意义(P>0.05)。组间比较,两组患者术前LAD、LVEDD、LVESD、LVEF差异均无统计学意义(P均>0.05)。两组患者出院前和术后12个月LAD、LVEDD、LVESD组间差异均无统计学意义(P均>0.05),人工腱索组患者出院前和术后12个月LVEF均高于同时间点的成形环组(P均<0.05);两组患者术后1年二尖瓣返流程度相比差异无统计学意义(P>0.05)。结论 二尖瓣成形术均可明显改善患者左心结构,两组患者术后左心结构均较术前得到明显改善,而在左心射血分数方面,成形环+人工腱索组较单独成形环组效果更佳。
Abstract:
Objective To explore the application value of artificial tendon chordae in mitral valvuloplasty for mitral insufficiency. Methods Thirty-two patients with mitral regurgitation who underwent mitral valvuloplasty in the General Hospital of Ningxia Medical University from January 2016 to January 2018 were selected. They were divided into two groups according to different surgical methods: forming ring group(n=14) and forming ring+artificial tendon group (n=18). The results of color Doppler echocardiography before operation,before and 12 months after discharge were collected and compared between the two groups. The changes of LAD,LVEDD, LVESD and LVEF,as well as the mitral regurgitation before and after operation in the two groups were analyzed. Results There was no significant difference in aortic occlusion time and cardiopulmonary bypass time between the two groups (P>0.05). There were significant differences in LAD,LVEDD and LVEF between the plastic group and the artificial tendon group (P<0.05),but there was no significant difference in the LVESD group(P>0.05). There was no significant difference in preoperative LAD,LVEDD,LVESD and LVEF between the two groups(P>0.05). There was no significant difference in LAD,LVEDD and LVESD between the two groups(P>0.05), but there was significant difference in LVEF between the two groups (P<0.05). There was no significant difference in mitral regurgitation degree between the two groups one year after operation (P>0.05). Conclusion Mitral valvuloplasty can significantly improve the left ventricular structure. The left ventricular structure of the two groups after operation can be significantly improved compared with that before operation. In terms of left ventricular ejection fraction, the effect of the ring plus artificial tendon chordae group is better than that of the ring group alone.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2018-10-09
作者简介:余森(1992-),男,在读硕士研究生,研究方向:心胸外科。
通信作者:王云,男,教授,主任医师,硕士研究生导师。 E-mail:wywarrenw@hotmail.com
更新日期/Last Update: 2019-06-30