摘要
目的回顾性总结542例二尖瓣成形术病人的手术疗效和20年随访结果。方法 1985年至2006年,542例二尖瓣病变的病人接受二尖瓣成形术,男306例,女236例。474例随访1～240个月,平均(41.03±40.40)个月,随访率90.8%。结果手术死亡20例(3.7%),出院时病人心功能均为Ⅰ级或Ⅱ级。随访死亡20例,再次手术23例;7年、10年和15年生存率分别为91%、88%和70%;7年和10年二次手术免除率分别为94%和86%。结论二尖瓣成形治疗二尖瓣病变,死亡率低,远期效果好。
Objective To evaluate the operative results of 542 patients underwent mitral valve repair and the results of 20-years follow-up. Methods A total of 542 patients [306 males, 236 females; mean age （38.75±19.38） years） underwent mitral valve repair between 1985 and 2006. Mean follow-up was （41.03 ± 40.40） months （ 1 - 240 months）, and follow-up was 90.8% complete. Results The post-operative mortality was3.7%, and96.3% of patients were in NYHA class Ⅰ and Ⅱ after surgery. During follow-up, there were 20 deaths and 23 reoperatians. Survival at 7-year, 10-year and 15-year was 91%, 88% and 70%, respectively. Freedom from reoperation at 7-year and 10-year was 94% and 86%, respectively. Conclusion Valve repair in mitral leaflet disease is a standard technique, with a good operative results.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2007年第5期301-303,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
