查詢結果分析
來源資料
相關文獻
- Surgical Repair of Ebstein's Anomaly
- Tricuspid Atresia with Persistent Truncus Arteriosus
- 杜卜勒心臟超音波的臨床應用
- Case Report: Dysplasia of Tricuspid Valve in a Dog
- Presentation and Outcome in Fetuses and Neonates with Ebstein's Anomaly
- Prognostic Value of Color Doppler Echocardiographic Findings in Premature Newborns with Patent Ductus Arteriosus
- Surgical Treatment of Tricuspid Atresia
- 甲狀腺機能亢進併發右心衰竭合併三尖瓣迴流
- 超音波心圖在診斷及評估二尖瓣和三尖瓣狹窄的角色
- Caval Inflow Occlusion during Surgery for Tricuspid Infective Endocarditis: Report of a Case
頁籤選單縮合
題名 | Surgical Repair of Ebstein's Anomaly=Ebstein異常之手術治療 |
---|---|
作者姓名(中文) | 袁明琦; 張燕; 游堂振; 翁仁崇; 施俊哲; 王志軒; 賴曉亭; | 書刊名 | 中華醫學雜誌 |
卷期 | 60:2 1997.08[民86.08] |
頁次 | 頁86-91 |
分類號 | 416.262 |
關鍵詞 | Ebstein異常; 三尖瓣; 外科修補; Ebstein's anomaly; Tricuspid repair; Surgical repair; |
語文 | 英文(English) |
中文摘要 | 背景:Ebstein異常表現為三尖瓣先天畸形合併其他心臟組織形態及生理性改變。三尖瓣置換手術及三尖瓣成形手術為主要外科治療方法。其中三尖瓣成形手術臨床效果良好。兩種手術方式:Danielson式及Quaegebeur式均已廣泛用於臨床,本文現報告並比較十年間我院所實施之8位病例三尖瓣成形手術的臨床效果。 方法:病例選自1986年元月至1996年8月間,我院診治的17位病例Ebstein三尖瓣異常病患。其中8位病例實施三尖瓣成形手術,6位病例採用Danielson術式;2位病例用Quaegebeur術式,病患年齡範圍從出生後8個月至61歲,平均14.1歲。男性3人,女性5人。 結果:兩種三尖瓣成形術式均可改善臨床症狀。在用Danielson術式治療病患中,因突發心律不整死於住院期者l位病例;後期死亡者l位病例,原因不詳;手術後併發完全性房室傳導阻滯者l位病例。在Quaegebeur術式治療者中,兩位病例因入院時已患完全性房室傳導阻滯外,手術後無死亡病例。 結論:根據該8位病例,手術經驗及術後臨床觀察,作者認為,三尖瓣成形術可有效的治療Ebstein三尖瓣先天異常。其中Quaegebeur術式可同時重建三尖瓣及右心室,不需另行切除部份右心房,建議優先選用。目前作者正在搜集更多病例,增加觀察指標,以期獲得更加完全深入的結論。 |
英文摘要 | Background: Ebstien's anomaly represents a congenital structural deformity of the tricuspid valve associated with a wide spectrum of morphologic and physiologic abnormalities. Valvuloplasty and tricuspid valve replacement are the main surgical treatments. Plication of the atrialized right ventricle and valvuloplasty of the tricuspid valve can achieve satisfactory clinical results. Two surgical techniques, known as Danielson's and Quaegebeur's methods, are often used clinically. This study was conducted to compare the postoperative results between both methods in treatment of Ebstein's anomaly. Methods: Valvuloplasty of tricuspid valve and the plication of atrialized right ventricle were performed in 8 out of 17 patients with Ebstein's anomaly in our hospital from January 1986 to August 1996. Danielson's method was used in six of eight patients, and Quaegebeur's method was used in the remaining two patients. There were three males and five females, aged from 8 months to 61 years (mean:14.1 years). Results: All patients achieved clinical improvement in cardiothoracic ratio and heart functional class. Cardiac arrhythmia was the likely cause of death in two patients treated by Danielson's method, and one patient developed complete atrioventricular (A-V) block postoperatively. By Quaegebeur's method, all patients survived, but a permanent pacemaker was implanted for both patients due to their preoperative complete A-V block. Conclusions: Both methods achieved satisfactory postoperative results. However, Quaegebeur's method seems to be more effective because it provided a simultaneous reconstruction of both tricuspid valve and right ventricle without the need for additional excision of the right atrium. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。