论文部分内容阅读
目的:探讨室间隔缺损封堵术后三尖瓣反流的变化。方法:入选2007-01-2009-12期间行室间隔缺损封堵术115例患者(合并膜部瘤69例,单纯膜部缺损41例,嵴下型3例,隔瓣下型2例),根据术前三尖瓣反流的程度及其是否伴有肺动脉高压,进行术前和术后3 d、1个月、3个月、6个月的三尖瓣反流的比较。结果:术前三尖瓣反流轻度[<20%,(7.91±5.88)%]者,术后3 d、1个月、3个月、6个月的平均反流面积分别为(6.06±5.42)、(5.39±5.15)、(5.24±3.84)、(5.33±3.37)%;术前三尖瓣反流中度[>20%,(34.10±13.25)%]者,术后3 d、1个月、3个月、6个月的平均反流面积分别为(17.52±8.94)、(16.56±8.68)、(13.12±6.44)、(12.37±5.12)%;术后平均三尖瓣反流面积随着时间的延长均有不同程度的减轻。患者是否伴有肺动脉高压对三尖瓣反流无影响。结论:室间隔缺损封堵术后三尖瓣反流明显减轻。
Objective: To investigate the changes of tricuspid regurgitation after ventricular septal defect closure. Methods: A total of 115 patients (69 cases with membranous neoplasms, 41 cases with simple membranous defects, 3 cases under the ridge, and 2 cases under the septal flap) were enrolled in the study. According to the degree of preoperative tricuspid regurgitation and whether it is accompanied by pulmonary hypertension, preoperative and postoperative 3 d, 1 month, 3 months, 6 months of tricuspid regurgitation were compared. Results: Preoperative tricuspid regurgitation was mild (<20%, (7.91 ± 5.88)%], and the average reflux area at 3 days, 1 month, 3 months and 6 months after operation were 6.06 (5.34 ± 3.84) and (5.33 ± 3.37)%, respectively. Preoperative tricuspid regurgitation (> 20%, 34.10 ± 13.25% , And the average reflux area at 1 month, 3 months and 6 months were (17.52 ± 8.94), (16.56 ± 8.68), (13.12 ± 6.44) and (12.37 ± 5.12)%, respectively. The mean tricuspid valve Reflux area over time have varying degrees of relief. Whether patients with pulmonary hypertension has no effect on tricuspid regurgitation. Conclusion: Tricuspid regurgitation was significantly reduced after transcatheter closure of ventricular septal defect.