瓣膜手术的逆行缝合法

Retrograde suturing in valve replacement

目的介绍一种心脏瓣膜手术的逆行缝合方法。方法20例心脏瓣膜置换,其中单纯主动脉瓣膜置换6例,单纯二尖瓣置换14例。均使用逆行缝合方法,对手术效果进行观察。结果在缝合操作过程中,无绕线、断线等意外情况发生。瓣膜缝合时间为(16.6±4.3)min。本组未见与手术相关的并发症,无手术死亡病例。结论瓣膜手术的逆行缝合方法是一种方便实用的瓣膜缝合方法。

Objective To introduce a novel suturing method in valve replacement. Methods 20 valvular replacement patients were included in the study. There were 6 simple aortic valve replacements and 14 mitral valve replacements in this group. Retrograde suturing methods were employed in all these operations. The effects of the operations were observed. Results There was no death and no complication in this group. During the suturing operation, there was no twining and breaking throughout the suturing. The median suturing time was 16.6 ± 4.3 rain. Conclusion Retrograde suturing is a convenient and practical suturing method in valve replacement.