摘要
Abstract
ObjectiveTo evaluate the clinical efficacy of tricuspid annuloplasty ring and the modified De Vegatricuspid annuloplasty for the treatment of functional tricuspid regurgitation.MethodsA total of 40 patients withfunctional tricuspid from June 2015 to September2015 in our hospitalwere involved in this study. The patients were randomly divided into two groups, modified De Vega tricuspid annuloplasty group(n=20) and tricuspid annuloplasty ring group(n=20, treated with imported Edwards4600 tricuspid annuloplasty ring). All patients were reviewed and followed-up in 1 week, 1 month and 3 months after operation.The clinical efficacy wasevaluatedby the diameter of right atrium,the diameter of ventriculus dexter,the differential pressure of tricuspid valve and the reverse flow of tricuspid valve.ResultsDe Vega group pre-operation indexes: right atrium diameterwas (50.12±10.34)mm,right ventricular internal dimensionwas(28.47±6.35)mm,tricuspid valve differential pressurewas(39.56±7.84)mmHg,tricuspid regurgitation in beam area/right atrium areawas 23.98%±5.42%, postoperation indexes: right atrium diameterwas(32.63±6.53)mm,right ventricular internal dimensionwas(24.64±4.67)mm,tricuspid valve differential pressurewas(30.76±5.96)mmHg,tricuspid regurgitation in beam area/right atrium areawas4.10%±2.35%.Tricuspid annuloplasty ring group pre-operation indexes: right atrium diameterwas(45.30±7.95)mm,right ventricular internal dimensionwas(24.10±4.71)mm, tricuspid valve differential pressurewas(41.15±9.65)mmHg,tricuspid regurgitation inbeam area/right atrium areawas22.75%±6.52%, postoperation indexes: right atrium diameterwas(35.25±6.67)mm,right ventricular internal dimensionwas(21.60±2.99)mm,tricuspid valve differential pressurewas(26.00±6.67)mmHg,tricuspid regurgitation inbeam area/right atrium areawas3.90%±1.89%. There were obvious improvements in all of the postoperative indexescompared withpreoperativeindexesin both groups (P<0.05), but there wereno statistically significant differencesbetween the two groups (P>0.05).ConclusionBoth of the tricuspid annuloplasty ring and the modified De Vega tricuspid annuloplastyhavea significant efficacy for functional tricuspid regurgitation. However, the short-term clinical efficacy of two different surgical methodsis similar.关键词
三尖瓣闭锁不全/三尖瓣成形软环/改良De Vega成形Key words
Tricuspid valve insufficiency/Tricuspid annuloplasty ring/Modified De Vega tricuspid annuloplasty分类
医药卫生
