二尖瓣成形术治疗小儿先天性二尖瓣病变疗效分析

Mitral valve repair for congenital mitral valve malformation in children

目的 通过本中心近年来婴幼儿二尖瓣成形术的外科治疗经验,回顾性总结婴幼儿二尖瓣成形术的手术方式及治疗效果。方法 2016年1月至2018年1月,本院共收治二尖瓣病变患儿94例,其中大多合并其他心脏畸形。男58例,女36例。体重3.3~35(17.28±9.64)kg。年龄2个月至10岁,平均年龄(4.63±2.14)岁。所有患儿均在全麻低温体外循环下行二尖瓣成形术,同期矫治其他心脏病变。结果 94例患者术后均顺利出院,随访时间2个月至2年,患者术后心功能良好,二尖瓣功能较术前显著改善(P<0.05)。结论 二尖瓣成形术治疗婴幼儿先天性二尖瓣病变效果良好,根据不同的二尖瓣病变选择合适的成形技术,术中合理有效的评估修复效果是手术成功和患者术后康复的关键。

Objective To review surgical experiences of mitral valve repair for mitral valve malformation in children at our institute. Methods The clinical data of 94 patients with mitral valve malformation undergoing surgical treatment in our center from January 2016 to January 2018 were retrospectively reviewed. There were 58 male and 36 female patients aged from 2 months to 10 years old (4.63±2.14 months). The body weight ranged from 3.3 to 35 (17.28±9.64) kg. All patients underwent mitral valvuloplasty with hypothermia and other cardiac malformation was corrected simultaneously. Results 94 patients were discharged from hospital uneventfully, while two patients died. During the follow-up time (2 months to 2 years), all patients showed good cardiac and mitral valve function. Conclusion Mitral valve repair can achieve an acceptable outcome in children with congenital mitral valve malformation based on careful assessment.