摘要
本文分析先天性心脏病２０２５例，需外科处理瓣膜病变１０８例（５．３３％），其中三尖瓣占２．３７％，二尖瓣２．１２％，主动脉瓣０．６４％，同时处理三尖瓣及二尖瓣为０．２０％；成形术者８０．６８％，换瓣术１９．３２％。瓣膜外科处理特点：①二尖瓣以关闭不全（ＭＩ）为主占９５％，手术以成形为主占８６％，多见室缺、原发与继发房缺并发。动脉导管未闭致重度ＭＩ者半数需换瓣处理。②主动脉瓣病变以换瓣为主占９２％，室缺伴主动脉瓣重度关闭不全（ＡＩ）常见，占６２％。③三尖瓣以成形为主占８８％，其中Ｅｂｓｔｅｉｎ畸形占５０％，余为各种先心病致三尖瓣功能性关闭不全，因房间隔及室间隔缺损所致者占６７％。
According to the analysis of 2025 cases of congenital heart diseases in surgical practices, the results indicated: the incidence of congenital heart diseases needed to perform valve surgery is 5 33%(108 cases), among them, 80 68% for repair and 19 32% for valve replacement. The percentages of different valve intervention in this series are: tricuspid valve in 2 37%,mitral valve in 2 12% and aortic valve in 0 64%. The characteristics are :①Mitral valve:the predominant pathology is insufficiency, accounts for 95%. Repair procedure was performed in 86%. Common concomitant congenital heart deformity are VSD and primary or secondary ASD. Half of the cases with PDA plus severe MI needed performing valve replacement. ②Aortic valve:the predominant surgical procedure is valve replacement(92%). VSD with aortic insufficiency is in 62%. ③Tricuspid valve:functional tricuspid valve insufficiency was met with different congenital deformity in the half cases of the gruoup. The other 50% cases are Ebstein anomalous. Repair procedure was needed in 88% cases,among them, about 67% cases are VSD and/or ASD.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1997年第4期256-258,共3页
Medical Journal of Chinese People's Liberation Army
关键词
心脏缺损
先天性
心脏瓣膜疾病
外科手术
heart defects, congenital
heart valve diseases
heart surgery
