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目的探讨二尖瓣双孔成形术对婴幼儿二尖瓣关闭不全的临床治疗效果。方法 18例二尖瓣关闭不全患儿,随机分成二尖瓣双孔成形术组(A组)和二尖瓣交界环缩成形术组(B组),每组9例。记录两组患儿手术前后心功能NYHA分级情况、并发症发生情况,对比其生存率与返流率。结果 1两组患儿反流情况、并发症发生情况及存活率对比差异无统计学意义(P>0.05);2A组治疗后心功能NYHA分级情况明显优于B组患儿,组间对比差异具有统计学意义(P<0.05)。结论对二尖瓣关闭不全患儿行二尖瓣双孔成形术,可有效提升其生存率,改善心功能,避免术后因心功能损害所造成的并发症的发生,安全可靠,具有临床推广价值。
Objective To investigate the clinical effect of mitral valve mitral regurgitation by mitral valve double-hole angioplasty. Methods Eighteen patients with mitral regurgitation were randomly divided into two groups: group A (mitral valve double hole) and group C (mitral valve group), group B (n = 9). The NYHA classification and complication of heart function before and after the operation in both groups were recorded, and their survival rates and reflux rates were compared. Results 1 There was no significant difference in reflux status, complications and survival between the two groups (P> 0.05). The NYHA classification of cardiac function in group 2A was significantly better than that in group B Statistically significant (P <0.05). Conclusions The mitral valve mitral valve insufficiency in children with mitral double-hole angioplasty, which can effectively improve its survival rate, improve cardiac function, prevent postoperative complications caused by cardiac function, safe and reliable, with clinical promotion value.