摘要
目的探讨运用自体心包主动脉瓣重建术治疗主动脉瓣狭窄病变的疗效。方法2017年10月至2019年6月,对15例主动脉瓣狭窄病变采取了自体心包主动脉瓣重建术治疗。术后观察主动脉瓣跨瓣压、主动脉瓣跨瓣流速、主动脉瓣返流、左心室大小情况。结果术前平均主动脉瓣跨瓣压为(75.2±26.4)mmHg、平均主动脉跨瓣流速(427.9±90.1)cm/s,术后1周、3、6个月平均主动脉瓣跨瓣压降低至分别(13.5±6.0)、(11±3.5)、(10±2.0)mmHg,而术后平均主动脉瓣跨瓣流速降至(169.3±48)、(160.5±60.1)、(145±15.2)cm/s,左心室较前明显缩小,无明显主动瓣返流。结论自体心包主动脉瓣重建术使主动脉瓣有良好的开放及关闭性从而具有良好血液流动学效应,其近中期结果是优良的。
Objective To investigate the therapeutic effect of autologous pericardial aortic valve recon-struction on aortic valve stenosis.Methods From October 2017 to June 2019,15 cases of aortic stenosis were treated with autocardiac aortic valve reconstruction.Postoperative observation of aortic valve across valve pressure,aortic valve across valve blood flow,aortic valve regurgitation,left ventricular size.Results The preoperative average aortic valve cross-valve pressure was(75.2±26.4)mmHg,and the average aortic cross-valve flow was(427.9±90.1)cm/s.After 1 week,3 months,and 6 months,the average aortic valve cross-valve pressure was reduced to(13.5±6.0)、(11±3.5)、(10±2.0)mmHg,respectively.After surgery,the average aortic valve flow rate decreased to(169.3±48)、(160.5±60.1)、(145±15.2)cm/s,left ventricle was significantly reduced and there was no significant active valve regurgitation.Conclusion Autocardio aortic valve reconstruction has a good open and closed aortic valve and thus has a good blood flow effect.The results in the near term are excellent.
作者
陈文
刘永春
郑晓宇
叶世高
石俊杰
CHEN Wen;LIU Yongchun;ZHENG Xiaoyu;YE Shigao;SHI Junjie(Department of Thoracicic and Cardiovascular Surgery,the First Hospital of Nanning,Nanning 530022,China)
出处
《实用医学杂志》
CAS
北大核心
2019年第17期2828-2830,共3页
The Journal of Practical Medicine
