Breyer R H, McClenathan J H, Michaelis L L, McIntosh C L, Morrow A G
J Thorac Cardiovasc Surg. 1976 Dec;72(6):867-74.
The best means of managing tricuspid regurgitation associated with mitral or mitral and aortic valve disease is still to be determined. During the period 1972 to 1974, we treated 76 patients who had tricuspid regurgitation along with associated valvular dysfunction. Patients with mold regurgitation were treated conservatively, those with moderate regurgation underwent annuloplasty, and those with severe regurgitation had tricuspid valve replacement. We found the results to be less satisfactory in the group treated by annuloplasty than in the other two groups. We still manage conservatively those patients with mild regurgitation, but we believe it appropriate to replace the valve in an increasing number of subjects who have tricuspid regurgitation of moderate severity.
与二尖瓣或二尖瓣及主动脉瓣疾病相关的三尖瓣反流的最佳处理方法仍有待确定。在1972年至1974年期间，我们治疗了76例伴有三尖瓣反流及相关瓣膜功能障碍的患者。轻度反流的患者接受保守治疗，中度反流的患者接受瓣环成形术，重度反流的患者进行三尖瓣置换术。我们发现，接受瓣环成形术治疗的组的结果不如其他两组令人满意。对于轻度反流的患者，我们仍采用保守治疗，但我们认为，对于越来越多的中度三尖瓣反流患者，进行瓣膜置换是合适的。
