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