上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (9): 1295-.doi: 10.3969/j.issn.1674-8115.2011.09.019

• 论 著 • 上一篇    下一篇

二尖瓣成形术治疗小儿先天性二尖瓣反流疗效分析

彭永宣, 鲁亚南, 丁文祥, 苏肇伉, 刘锦纷, 徐志伟   

  1. 上海交通大学 医学院附属上海儿童医学中心心胸外科, 上海 200127
  • 出版日期:2011-09-28 发布日期:2011-09-27
  • 通讯作者: 鲁亚南, 电子信箱: luyanan@yahoo.com。
  • 作者简介:彭永宣（1986—）, 男, 硕士生；电子信箱: pengyongxuan20@yahoo.com.cn。

Mitral valvuloplasty for congenital mitral valve regurgitation in children

PENG Yong-xuan, LU Ya-nan, DING Wen-xiang, SU Zhao-kang, LIU Jin-fen, XU Zhi-wei   

  1. Department of Cardiovascular and Thoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2011-09-28 Published:2011-09-27

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摘要：

目的 评价二尖瓣成形术在小儿先天性二尖瓣反流治疗中的应用效果。方法 对接受二尖瓣成形术治疗的78例二尖瓣反流患儿的手术指征、手术方式、疗效及随访结果进行分析。结果 78例患儿平均随访时间12.6个月（0.5~73个月）。术后死亡3例，均为住院期间死亡。术后15例（19.2%）出现并发症。再次手术4例，其中3例行二尖瓣置换术，1例行二次成形术。1例因术后心力衰竭再次入院。随访期间二尖瓣反流评分与术前相比均有明显下降（P<0.05）。结论 二尖瓣成形术治疗小儿先天性二尖瓣反流近期效果理想，能适应患儿的生长，可以有效地延迟或避免行二尖瓣置换术。

关键词: 二尖瓣成形术, 先天性二尖瓣反流, 儿童

Abstract:

Objective To evaluate the application of mitral valvuloplasty to congenital mitral valve regurgitation in children. Methods The surgical indications, procedures, therapeutic effects and follow-up results of 78 children with mitral valve regurgitation undergoing mitral valvuloplasty were analysed. Results The average duration of follow up was 12.6 months (0.5 month to 73 months). Three patients died after operation during hospitalization. Postoperative complications occurred in 15 patients (19.2%). A second operation was performed in 4 patients, including mitral valve replacement (n=3) and redo mitral valvuloplasty (n=1). One patient was re-hospitalised due to heart failure. During the follow up, grades of mitral valve regurgitation were significantly decreased compared to those before operation (P<0.05). Conclusion Mitral valvuloplasty in children may lead to favorable early outcomes, adapt to children's growth, and effectively delay or avoid mitral valve replacement.

Key words: mitral valvuloplasty, congenital mitral valve regurgitation, children