保留左房室瓣结构的左房室瓣置换术

Mitral valve replacement with preserving mitral structure

１９９３年１１月至１９９５年８月，我们共施行保留左房室瓣结构的左房室瓣置换术１７例。其中保留全部左房室瓣结构１例。保证后瓣、部分前瓣及瓣下结构２例，保留后瓣及瓣下结构１４例。全组病例存活，术后心功能恢复至Ⅰ～Ⅱ级。文中对该手术三种术式、意义、适应证及人工瓣的选择作了讨论。

From November 1993 to August 1995,17 cases of mitral valve replacement with preserving mitral structure were performed in our hospital.8 men and 9 women,16 to 54years old.All patients were rheumatic heart disease.Mitral structure was preserved completely or partly.All cases were alive.Postoperative follow-up showed hearts'function improved to class Ⅰ to Ⅱ(NYHA).The operative methods,advantages,indications and experiences were discussed.