协和医学杂志Issue(4)：437-440,4.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
Clinical Outcome of Mitral Valve Repair for Non-ischemic Mitral Regurgitation
刘兴荣 1张超纪 1刘剑州 1苗齐 1马国涛 1曹丽华 1李晓凤1
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院心外科，北京100730
- 折叠
摘要
Abstract
Objective To evaluate the clinical outcome of mitral valve repair for non-ischemic mitral re-gurgitation .Methods We reviewed the clinical data of 104 consecutive patients with non-ischemic mitral regur-gitation who underwent elective mitral valvuloplasty from January 2001 to December 2012 in Peking Union Medi-cal College Hospital.The enrolled patients included 58 men and 46 women, aged (45.3 ±16.8) years (range, 9-77 years ) .The surgical procedures were elective mitral valvuloplasty with cardiopulmonary bypass , during which the mitral leaflets were repaired and annuloplastic rings of appropriate sizes were implanted .Results The success rate of surgery was 96.2%(100/104).One patient died postoperatively due to multiple organ fail-ure ( mortality 0.96%) .One patient developed renal failure which mandated transient renal replacement thera -py.The median follow-up time was 46 months (range, 8-141 months) and 8 patients were lost.One late death occurred due to neoplasia .Three patients suffered relapse of mitral regurgitation , of whom two underwent mitral replacement.The rate of freedom from mitral regurgitation was 96.7%(88/91), and the rate of freedom from re-operation was 97.8%(89/91).Conclusions With satisfactory short-and long-term outcomes, mitral valvulo-plasty could be the primary treatment for non-ischemic mitral regurgitation .关键词
二尖瓣修复/非缺血性二尖瓣返流Key words
mitral valve repair/non-ischemic mitral regurgitation分类
医药卫生引用本文复制引用
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,(4):437-440,4.
