Romanov E I, Karov V V
Kardiologiia. 1992 Jun;32(6):44-6.
The 20-25 year results of 486 closed mitral commissurotomies were analysed. The actuarial analysis demonstrated that 25-year survival was 59%, stable good results were 38%, repeated mitral interventions were performed in 31% of the patients. The patients' survival and functional results of commissurotomies depend on early surgery which should be done in patients with severe and acute mitral stenosis prior to the development of drastic valvular changes, calcinosis, regurgitation, atrial fibrillation, cardiomegaly, atrial thrombosis and other complications. Timely mitral commissurotomy is a rather effective palliative intervention in uncomplicated mitral stenosis.
对486例闭式二尖瓣交界切开术20 - 25年的结果进行了分析。精算分析表明，25年生存率为59%，稳定的良好结果为38%，31%的患者进行了再次二尖瓣干预。患者的生存情况和交界切开术的功能结果取决于早期手术，早期手术应在重度急性二尖瓣狭窄患者发生严重瓣膜改变、钙化、反流、房颤、心脏扩大、心房血栓形成及其他并发症之前进行。及时进行二尖瓣交界切开术是治疗单纯二尖瓣狭窄的一种相当有效的姑息性干预措施。
