二尖瓣狭窄行直视二尖瓣交界切开术患者再次手术的精算分析。

Actuarial analysis of reoperation in patients undergoing open mitral commissurotomy for mitral stenosis.

作者信息

Nakano S, Hirose H, Matsuda H, Taniguchi K, Kawamoto T, Kawashima Y

出版信息

Jpn Circ J. 1986 Sep;50(9):877-9. doi: 10.1253/jcj.50.877.

DOI:10.1253/jcj.50.877

Abstract

Reoperation is one of the most seriously problematical events in postoperative follow-up of patients undergoing open mitral commissurotomy (OMC) for mitral stenosis. In 217 patients with pure mitral stenosis, even when associated with severe subvalvular changes, the actuarial rate of freedom from reoperation was 94% 12 years after OMC. In contrast, in 85 patients with MS combined with regurgitation, the rate was 66%. In postoperative management of patients undergoing OMC, it is mandatory to know preoperative anatomical findings of the stenosed mitral valve.

摘要

再次手术是接受二尖瓣狭窄闭式分离术（OMC）患者术后随访中最具严重问题的事件之一。在217例单纯二尖瓣狭窄患者中，即使伴有严重的瓣下改变，二尖瓣狭窄闭式分离术后12年再次手术的实际免发生率为94%。相比之下，在85例二尖瓣狭窄合并反流的患者中，该发生率为66%。在接受二尖瓣狭窄闭式分离术患者的术后管理中，了解狭窄二尖瓣的术前解剖学发现是必不可少的。