摘要
目的 评价术中经食管超声心动图在二尖瓣成形术中的作用。方法 1993年 3月至 2 0 0 3年 3月 ,6 2例二尖瓣关闭不全病人在经食管超声心动图监测下行二尖瓣成形术 ,男 2 4例 ,女 38例 ,平均年龄 (31 3± 7 5 )岁。病因为退行性变 4 2例 ,先天性 2 0例。重度二尖瓣关闭不全 5 9例 ,中度 3例。根据二尖瓣病变的特征进行相应的成形手术。结果 全组无一例手术死亡 ,8例改行二尖瓣替换术。术后超声心动图检查二尖瓣无返流 3例 ,轻度返流 4 9例 ,中度返流 2例。结论 经食管超声心动图在术中能即时判断二尖瓣成形术的效果 ,并找出失败原因 ,从而指导进一步成形术。
Objectives To investigate the effect of intraoperative transesophageal echocardiography in mitral valve repair. Methods 62 patients [24 men and 38 women, with the age of (31.3±7.5) years] with mitral valve regurgitation underwent mitral valve repair in use of inrasesophageal echocardiography from March, 1993 to March 2003. The causes of mitral valve regurgitstion were degenerative(42),congenital(20). The mitral valve incompetence was grade as severe in 59 cases and moderate in 3. Mitral valve repair were applied according to the pathologic characteristics of mitral valve. Results No operative death occurred, 8 cases needed mitral valve replacement because of failure repair. Postoperative echocardiography showed that mitral valve regurgitation was slight in 49 cases, moderate in 2 and no regurgitation in 3. Conclusions Intraoperation transesophageal echocardiography can identify immediately the effect of mitral valve repair and mechanisms of failure, guid further repair procedures.
出处
《岭南心血管病杂志》
2003年第6期390-391,共2页
South China Journal of Cardiovascular Diseases
