[心脏二尖瓣、主动脉瓣和三尖瓣缺损患者手术矫正方法的选择及结果]。

Grudnaia khirurgiia (Moscow, Russia) Pub Date : 1989-07-01
G I Tsukerman, V S Dubrovskiĭ, A I Malashenkov, N Shamshiev
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引用次数: 0

摘要

本文分析了1973年1月至1986年3月间132例三瓣膜性心脏病的手术矫正效果。住院总死亡率为20.4%。1980年1月以来进行的最后72例手术中,住院死亡率为14.0%(10例死亡)。不同矫正方法的手术结果大致相同:105例患者在后期随访期间(6个月至14年)进行了研究。考虑到医院的损失,到随访第7年,人工瓣膜置换术后的生存率为61.8%,二尖瓣和主动脉置换术和三尖瓣成形术后的生存率为60.6度。良好结果的稳定性分别为59.6%和58.1%。与同类组相比,接受药物治疗的患者第7年生存率为28.1%,说明手术治疗方法优势明显。接受两瓣和三瓣整形手术的患者效果最好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Choice of the correction method and results of surgery in patients with mitral, aortic and tricuspid defects of the heart].

The article analyses the results of surgical correction of tri-valvular heart diseases in 132 patients who were operated on between January, 1973 and March, 1986. Total hospital mortality was 20.4%. Among the last 72 operations conducted from January, 1980 hospital mortality amounted to 14.0% (10 patients died). The results of the operations were approximately the same in the different methods of correction: 105 patients were studied in late follow-up periods (from 6 months to 14 years). With consideration for the hospital losses, by the 7th year of follow-up the survival after prosthetic replacement of 3 valves was 61.8%, after replacement of the mitral and aortic and valvuloplasty of the tricuspid valve--60.6 degrees. The stability of good results was 59.6 and 58.1%, respectively. Among and analogous group of patients who received drug treatment survival by the 7th year was 28.1%, which is evidence of the obvious advantages of the surgical method of treatment. The results were best in patients subjected to plastic operations on two and three valves.

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