【摘要】 目的本文总结分析了700例瓣膜成形术的基本方法及近、远期疗效。方法700例瓣膜病,风湿性病变占70%,粘液退形变占20%,先天性病变占10%。根据不同的病理改变采取不同的成形方法,狭窄的病变多采取交界切开术,多开口技术,腱索分离术。关闭不全的病变多采取人工软环成形术,腱索转移术,腱索替代术,Devega缩环术,瓣叶折叠悬吊术,二孔化技术。结果700例病例早期死亡5例,晚期死亡6例,随访病人10年存活率98%,随访的风心病心功能明显改善占92%,粘液退形性变心功能明显改善占97%,随访病人10年再次手术率占2%。结论瓣膜成形技术仍为治疗瓣膜病的有效方法,但瓣膜成形的指证要严格掌握,对于瓣膜病变复杂的病例要用多种成行方法。更多还原

【Abstract】 Objective Aim To analyse the effect of valvuloplasty on valve disease.Methods The cause of valve disease includes rheumatic(70%), myxomatous degenerative(20%), congenital(10%). Operation methods depends on pathological state of valve. the method to manage stenosis of valve includes: incision of commissures, more opens technique, to divide thicken fusion chordae tendineae. the method to manage insufficiency of valve includes: chordal shortening, chordal tranfer, chordal replacement ,annuloplasty,double opens method . Results Early and late mortality was 2%, recovery of cardiac function rate was 92%(rheumatic) and 97% (degenerative) .Reoperation rate was 2%. Conclusions Valvuloplasty is an effect method to treat valve disease. Indication of valvuloplasty should be mastered.,more methods of valvuloplasty should be used in the complicated valve disease。更多还原