人工腱索在机器人辅助二尖瓣成形术中的临床应用研究

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中图分类号 R654.2 文献标识码 A 文章编号 2096-7721（2025）12-2108-06

AbstractObective：Txploreesfetyndfcacyoftifalodaeinbotassisteditralvluloplastyndtote preliminary experiencewiththissurgicalprocedure.Mthods：Aretrospectiveanalysiswasconductedonclinicaldatafrom7Opatients whounderwentDaVinciobotasistedmitralvalvuloplastyformitralregurgitationattheFrstAfiedHospitalwitNingMedical UniversityfromDecember2O16toJanuary2O24.Patients weredividedintotheartificialchordaegroup（n=54）andthenon-artificial chordae group （ n =16）. Perioperative indicatorsand follow-upresults were compared betweenthe two groups.Results：Allsurgeries were sucessfullyompleted.Tharticialcoraeroupadanavegeof1.83ordaeimpanted，withalngerros-apiethnthe non-artificial chordae group （ P <0.05）. Three cases （5.56%） in the artificial chordae group underwent concurrent tricuspid valvuloplasty， a proportion significantly lower than that of the non-artificial chordae group （4 cases， 25.00% ） （P<0.05 ）.Follow-up at 12 and18 months showed no statistically significant difference in mitral regurgitation between the two groups （P>0.05） .There was no significant difference in postoperative complications between the two groups （P>0.05） . Conclusion： The application of artificial chordae in robot-assisted mitral valvuloplastyissafeandefective，anditanachievefavorablefollow-upresultscomparabletonon-artificialchordaetechiques. Key WordsSurgical Robot; Mitral Valvuloplasty; Artificial Chordae; Minimally Invasive Cardiac Surgery

随着微创技术与体外循环技术的快速发展，全腔镜、经右胸肋间小切口以及机器人辅助二尖瓣成形术已广泛应用。（剩余10476字）