頁籤選單縮合
題 名 | Midterm Outcome of Mitral Valve Regurgitation after Repair of Atrioventricular Septal Defect=心內膜墊缺損修補術後二尖瓣關閉不全之中程追蹤 |
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作 者 | 陳銘仁; 侯守賢; 邱英世; 李懷德; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 40:1 民88.01-02 |
頁 次 | 頁22-26+58 |
分類號 | 417.6231 |
關鍵詞 | 心內膜墊缺損; 二尖瓣關閉不全; 彩色杜卜勒心臟超音波; Atrioventricular septal defect; Mitral regurgitation; Color Doppler echocardiography; |
語 文 | 英文(English) |
中文摘要 | 本研究之目的在於評估心內膜墊缺損修補術後二尖瓣關閉不全之情況。我們調閱 了自 1991 年到 1996 年所有心內膜墊缺損修補術後存活者之彩色心臟超音波錄影帶,並將 16 位術後做過兩次以上檢查者納入研究。 依據回流面積大小,將二尖瓣關閉不全的程度分 為第一度到第四度。開刀時平均年齡為 31.1 個月 (2.5 到 83 個月 ),平均術後追蹤時間 為 23.6 個月 (1 到 59 個月 )。其中 5 個病人二尖瓣關閉不全惡化一度以上。 但是二尖 瓣關閉不全惡化的情形都是馬上發生在術後。經過中程追蹤後,所有病人的二尖瓣關閉不全 情形都不再惡化,甚至有的改善了。存活的病人都不需再接受二尖瓣手術。我們認為心內膜 墊缺損修補術後二尖瓣關閉不全的情況應該相當穩定,極少有嚴重惡化的。 |
英文摘要 | The purpose of this retrospective study was to evaluate the outcome of mitral regurgitation (MR) following repair of atrioventricular septal defects (AVSDs). Echocardiograms of all survivors after AVSD surgery between 1991 and 1996 were reviewed. This study enrolled 16 patients who had had more than two postoperative color Doppler studies. On each echocardiogram, MR severity was graded on a 1 + to 4 + scale, based on the size of the MR jet. Mean age at surgery was 31.1 months (range 2.5 to 83) and mean postoperative follow-up duration was 23.6 months (range 1 to 59). Mild deterioration of mitral valve function was common. MR severity increased by one or more grades in 5 patients (31%) between the initial and final examinations. However, the deterioration in mitral valve function occurred primarily on the immediate postoperative stage. On mid-term follow-up, the MR improved, or at least became stationary, in all patients. Mitral valvuloplasty was not necessary in surviving patients. We conclude that postoperative MR remains fairly stable following AVSD repair. Serious deterioration is rare. |
本系統中英文摘要資訊取自各篇刊載內容。