邓学峰,高长青,二尖瓣成形术治疗二尖瓣关闭不全

前言二尖瓣成形术与二尖瓣置换术相比有较多优点,因此,近年来二尖瓣成形术治疗二尖瓣关闭不全越来越受到临床医生的重视。针对二尖瓣关闭不全的不同病理改变,可以采用瓣环成形、三角形切除、四边形切除以及腱索转移、置换等方法。随着微创外科的发展,小切口二尖瓣成形和机器人辅助的二尖瓣成形技术也逐渐发展起来;另外,对二尖瓣关闭不全进行介入治疗也开始起步。相信随着手术技术的不断成熟,将会有更多二尖瓣关闭不全患者接受二尖瓣成形术的治疗。
Comparedwithmitralvalvereplacement,thereareseveraladvantagesinmitralvalvuloplasty,sorecentlymoreandmoresightsarecaughtonmitralvalverepair.Accordingtodifferentetiology,thesurgeoncanapplyannuloplasty,triangularresection,quadrangularresection,replacementortranspositionofchordaetendineaeandsoontotreatmitralregurgitation（MR）.Withthedevelopmentofminimallyinvasivesurgicaltechnology,roboticmitralvalvereconstructionevolverapidlyandpercutaneousinterventionalth...