三尖瓣置换术的临床结果——21例报告
Clinical results of tricuspid valve replacement - a 21-case report.
作者信息
Zhuang Yu, Zhou Jie, Xiao Mingdi, Yuan Zhongxiang, Lu Chengbao, Yu Min, Lin Lei
机构信息
Department of Cardiovascular Surgery, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai, 200080,China.
出版信息
J Biomed Res. 2010 Jan;24(1):73-6. doi: 10.1016/S1674-8301(10)60012-7.
OBJECTIVE
To summarize the clinical experiences of 21 patients treated with tricuspid valve replacement (TVR) and investigate the surgical indications and methods.
METHODS
Data from 21 patients who underwent TVR from December 2002 to March 2009 were retrospectively collected and analyzed. The mean age was 48.86±15.37 years (range: 20-72 years). The underlying disease of the patients was classified as rheumatic (n = 10), congenital (n = 8), endocarditis (n = 2) or chest trauma (n = 1). Previous cardiac surgery had been performed in 12 patients (57.14%).
RESULTS
In-hospital death occurred in two patients (9.52%). Postoperative morbidities included cardiac failure (n = 2), bleeding related re-operation (n = 1), and plural effusion (n = 2).
CONCLUSION
The early outcomes of TVR were acceptable. At the present time TVR can be performed through optimal perioperative management.
目的
总结21例行三尖瓣置换术（TVR）患者的临床经验，并探讨手术适应证及方法。
方法
回顾性收集并分析2002年12月至2009年3月期间21例行TVR患者的数据。平均年龄为48.86±15.37岁（范围：20 - 72岁）。患者的基础疾病分类为风湿性（n = 10）、先天性（n = 8）、心内膜炎（n = 2）或胸部创伤（n = 1）。12例患者（57.14%）曾接受过心脏手术。
结果
2例患者（9.52%）在住院期间死亡。术后并发症包括心力衰竭（n = 2）、出血相关再次手术（n = 1）和胸腔积液（n = 2）。
结论
TVR的早期结果是可以接受的。目前，通过优化围手术期管理可进行TVR。
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