继发性三尖瓣关闭不全的外科治疗

Surgical treatment of secondary tricuspid regurgitation

目的:探讨继发性三尖瓣关闭不全的外科治疗方法。方法:总结1998年1月至2003年6月收治的128例中、重度继发性三尖瓣关闭不全的临床资料。结果:128例患者死亡4例存活124例患者术后1～2周心脏彩超检查三尖瓣关闭不全全部消失101例,占81.45%;术后仍有轻、中度三尖瓣关闭不全23例占18.55%。结论:Kay’s二瓣叶化成形术和DeVega成形术均为治疗继发性三尖瓣关闭不全的有效方法。

Objective To discuss the surgical treatment method of secondary tricuspid regurgitation. Method Summarize the clinical data of 128 cases of moderate and severe secondary tricuspid regurgitation(from Jan 1998 to Jun 2003). Results 4 of 128 patients died, the survived 124 patients took UCG after 1 to 2 weeks, 101 cases of tricuspid regurgitation disappear clearly,which occupies 81.45 percent, 23 patients still get light and moderate tricuspid regurgitation, which occupies 18.55 percent. Conclusion Kay's bivalvular annuloplasty and DeVega annuloplasty are both effective methods in treating secondary tricuspid regurgitation.