86例感染性心内膜炎外科治疗

SURGICAL TREATMENT OF INFECTIVE ENDOCARDITIS:A REPORT OF 86 CASE

目的 :评价外科手术治疗感染性心内膜炎的效果。方法 :通过回顾性分析我院 86例感染性心内膜炎的外科手法治疗 ,其中 33例行主动脉瓣置换 ,2 1例行二尖瓣置换 ,6例行二尖瓣成形术 ,9例行联合瓣膜置换 ,8例行室间隔缺损修补 ,4例行动脉导管缝闭术 ,2例行法乐氏四联症根治术 ,1例行肺动脉瓣切开术 ,降主动脉人造血管置换术 2例。结果 :全组均经手术治愈 ,无 1例手术过程中死亡。术中早期死亡 1例 ,术后随访 3月～5年 ,无复发及死亡病例。结论 :本研究证实外科手术治疗感染性心内膜是一种有效的治疗措施。它降低了感染性心内膜炎的死亡率。

Objective:To evaluate the effectiveness of surgical treatment on patients with infective endocarditis.Methods:This is a retrospective study which included 86 cases with infective endocarditis . All the subjects have received surgical treatment involving aortic valve replacement in 33 patientis, mitral valve replacement in21 cases, mitral valvuloplasty in 6 cases, combination of aortic and mitral valve replacement in 9, respair of ventricular septal defect in 8, ligation of patent ductus arterisus in 4 cases, total correction of Tetralogy of descending Fallot in 2, pulmonary valve commissurotomy in 1 case, interposition of prosthetic tube graft of descending aortic in 2.Results:The operations were done successfully in all patients. There was one death occurred in early intraoperactive stage. No recurrent endocarditis or death was observed during the average follow-up period of 3 month-5 years.Conclusions:This study indicated that Surgical intervention is an effective treatment for infective andocarditis with very low mortality.