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应用国产体外循环管路产品行胸腔镜辅助二尖瓣置换同期三尖瓣成形术的临床研究

A clinical study of thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass.

作者信息

Cao Hua, Chen Qiang, Li Qian-Zhen, Chen Liang-Wan, Zhang Gui-Can, Chen Dao-Zhong, Qiu Zhi-Huang, Hu Yun-Nan, He Jia-Jun

机构信息

Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29#, Fuzhou 350001, P, R, China.

出版信息

J Cardiothorac Surg. 2014 Oct 2;9:160. doi: 10.1186/s13019-014-0160-2.

Abstract

OBJECTIVE

To discuss the feasibility and experience of treating valvular heart diseases with thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass.

METHODS

A total of 135 patients with valvular heart disease were admitted to our hospital between January 2011 and January 2013. They received thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products. A cardiopulmonary bypass with domestically-manufactured pipeline products was established during the surgery. The procedure was accomplished with the assistance of thoracoscopy through a small incision in the right chest wall.

RESULTS

All 135 patients underwent a successful surgery, and were followed up for the duration of half a year to two years. None of them displayed any evidence of complications. Our procedure had the advantage of fewer complications and a significantly shortened time period for the patient care and hospitalization. As opposed to imported pipeline products for cardiopulmonary bypass, our procedure had the advantage of similar clinical results at a lower cost.

CONCLUSIONS

Thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty was proved to be a safe and effective method for cardiopulmonary bypass, with the use of domestically manufactured pipeline products.

摘要

目的

探讨应用国产体外循环管道产品在胸腔镜辅助下行二尖瓣置换同期三尖瓣成形治疗瓣膜性心脏病的可行性及经验。

方法

2011年1月至2013年1月我院共收治135例瓣膜性心脏病患者,应用国产体外循环管道产品在胸腔镜辅助下行二尖瓣置换同期三尖瓣成形术,术中建立国产体外循环管道,经右胸壁小切口在胸腔镜辅助下完成手术。

结果

135例患者手术均成功,随访半年至2年,均未出现并发症。该术式并发症少,患者监护及住院时间明显缩短,与进口体外循环管道产品相比,临床效果相似但费用较低。

结论

应用国产体外循环管道产品在胸腔镜辅助下行二尖瓣置换同期三尖瓣成形术治疗瓣膜性心脏病安全有效。

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