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二尖瓣重建术后即时疗效与预后的关系 被引量:2

Postpump effect of mitral valve reconstruction and its relationship to prognosis
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摘要 目的 运用多平面经食管超声心动图 (TEE)评价二尖瓣重建术后即时疗效并观察其与术后经胸超声 (TTE)检查结果之间的联系。方法 运用术中TEE对 66例行二尖瓣重建术的患者进行术后即时疗效评估 ,并与其后TTE检查结果相比较。结果  66例患者术后即刻疗效评估显示 :无或轻微二尖瓣反流 3 5例(5 3 .0 3 % ) ,轻度二尖瓣反流 2 3例 (3 4.85 % ) ,轻中度或轻中度以上二尖瓣反流 8例 (12 .12 % ) ,3例立即给予瓣膜置换术。 3 2例手术即刻无或仅有轻微二尖瓣反流的患者术后接受TTE随访 ,2例出现轻度二尖瓣反流(6.2 5 % ) ,1例出现中度二尖瓣反流 (3 .13 % )。 2 1例手术即刻示轻度二尖瓣反流的患者术后接受TTE随访 ,6例出现轻中度或轻中度以上二尖瓣反流 (2 8.5 7% ,P <0 .0 5 )。 Objective To show the postpump effect imaged by intraoperative transesophageal echocardiography (TEE) and its relationship to the results of postoperative transthoracic echocardiography(TTE).Methods Intraoperative TEE were given in 66 patients undergoing mitral valve reconstruction and postoperative TTE were given during the follow up period.Results Postpump intraoperative TEE revealed that 35 cases with no or slight mitral regurgitation,23 cases with mild mitral regurgitation and 8 cases with mild to moderate or more than mild to moderate mitral regurgitation.Postoperative TTE was given in 32 patients during the follow up period,among whom there was only 1 case( 3.13% ) with moderate mitral regurgitation in the group with no or slight mitral regurgitation by postpump TEE, compared with 6 cases( 28.57% ,P< 0.05 ) with mild to moderate or more than mild to moderate mitral regurgitation in the 21 patient group with mild mitral regurgitation.Conclusions There is a trend toward more occurrence of mild to moderate or more than mild to moderate mitral regurgitation in patients with mild mitral regurgitation compared with those with no or slight mitral regurgitation shown by intraoperative echocardiography immediately after repair.
出处 《中华超声影像学杂志》 CSCD 2002年第8期457-459,共3页 Chinese Journal of Ultrasonography
关键词 超声心动描记术 二尖瓣闭锁不全 二尖瓣重建 疗效 预后 Echocardiography Mitral valve insufficiency Mitral valve reconstruction
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同被引文献31

  • 1王炯,李治安,张纯,杨娅,何怡华,孟旭,来永强,许春雷,白涛.经胸超声心动图详细定位二尖瓣脱垂部位在二尖瓣成形术中的应用价值[J].中华超声影像学杂志,2006,15(3):171-175. 被引量:9
  • 2陈雷,胡盛寿,许建屏,孙立忠,宋云虎,孙寒松.外科治疗缺血性二尖瓣反流的中期随访[J].中华胸心血管外科杂志,2006,22(3):177-179. 被引量:4
  • 3黄国倩,舒先红,潘翠珍,陈海燕,刘诗珍,陈灏珠.术前左心功能对二尖瓣修复术疗效的影响[J].中华超声影像学杂志,2007,16(6):487-490. 被引量:1
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