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自制软质人工二尖瓣成形环在二尖瓣修复术中的应用

A clinical study on the application of newly designed flexible prosthetic mitral ring in annuloplasty

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【作者】 黄利荣蒋红亮刘国锋王春生

【Author】 HUANG Li-rong1,JIANG Hong-liang,LIU Guo-feng,WANG Chun-sheng(1 The First Hospital of Yancheng,Yancheng 224001,P.R.China)

【机构】 盐城市第一人民医院上海复旦中山医院 江苏盐城224001江苏盐城224001

【摘要】 目的评价自行研制的新型人工二尖瓣成形环(佰仁思环)的临床应用效果。方法应用二维和彩色血流显像超声技术研究了8例接受自制软质二尖瓣环成形术(软环组)和6例硬质二尖瓣环成形术者(硬环组)术后心功能的变化。结果术后早期软环组左室峰值充盈率(PFR)、左室峰值排空率(PER)、最小容积变化率(dV/dTm in)、左心室收缩期快速射血时间与射血总时间比值(FET/ET)与硬环组比较有统计学差异(P<0.05);术后3~6个月软环组射血分数(EF)、FET/ET与硬环组比较有统计学差异(P<0.05)。结论软质环顺应性好,有利于临床心功能的恢复。

【Abstract】 [Objective] To assess the clinical efficacy of newly designed flexible prosthetic mitral ring in annuloplasty.[Method] 14 patients with mitral annuloplasty were studied by two-dimensional and color Doppler echocardiography.Patients were divided randomly into the prosthetic flexible rings group(FPMAG,n=8) and the rigid rings group(RPMAG,n=6).[Results] In 10-14 days after operation,left ventricular minimal volume change rate(dV /dTmin) and left ventricular peak of emptying rate(LVPER) in FPMAG were higher than those in RPMAG(P<0.05),and left ventricular systolic rate of fast ejection time and ejection total time in FPMAG was also higher than those in RPMAG(P < 0.05).Left ventricular peak of filling rate in FPMAG was higher than those in RPMAG(P < 0.05).[Conclusion] The flexible prosthetic mitral ring may have better effects on restoring the cardiac function than the rigid rings.

【基金】 盐城市科技局立项课题
  • 【文献出处】 山东医药 ,Shandong Medical Journal , 编辑部邮箱 ,2007年27期
  • 【分类号】R654.2
  • 【下载频次】59
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