二尖瓣球囊扩张术疗效影响因素的探讨──超声评分54例前瞻性研究  

Factors influencing the effect of PBMV by Echo score in 54 subjects

作　　者：但苏[1] 李华泰[1] 钱河娟 叶雪存[1] 

机构地区：[1]江西省人民医院心内科

出　　处：《中华心血管病杂志》1994年第5期338-340,共3页Chinese Journal of Cardiology

摘　　要：为判断二尖瓣形态学特征是否是经皮球囊导管二尖瓣扩张术（ＰＢＭＶ）疗效的影响因素，运用修订的超声评分法对５４例进行前瞻性研究，证实低积分（≤８）组ＰＢＭＶ疗效显著优于高积分（＞８）组，相应探讨了其临床意义。Abstract In order to determine whether mitral valve morphological features (leaflet motion, thickness, calcifications, and subvalvular lesion) influence the efficacy of percutaneous balloon catheter mitral valvuloplasty (PBMV), a set of echocardiographic total score (ETS) was used for a prospective cohort study of different scores in 54 subjects with mitral stenosis (MS) but without significant mitral regurgitation (MR). It was found that the efficacy of PBMV within one week and 4 24 (14±5) months after the procedure was significantly better in the low score (≤8 points) group (n = 26) than in the high score (> 8 points) group (n = 28) in mitral valve area (MVA) , mean left atrial pressure, or mean mitral valve pressure gradient. In addition, 4 24 months after PBMV, MVA decreased from 1. 91±0. 38 to 1. 64 ± 0. 34 cm2 (P<0. 01) , left atrial dimension increased from 40. 9±6. 8 to 44. 7 ± 7. 2mm (P<0. 05) in the high score group. Thus, ETS may be useful in selecting patient for PBMV and patterns of the procedure.

关 键 词：二尖瓣狭窄 气囊扩张术 超声心动图 疗效 

分 类 号：R654.2[医药卫生—外科学]