INOUE球囊经皮肺动脉瓣成形术治疗肺动脉瓣狭窄(附18例报告)  

Percutaneous INOUE balloon dilation of valvular pulmonary stenosis

作　　者：李永生[1] 黄浙勇[2] 屈健[3] 项军[3] 

机构地区：[1]南京军区杭州疗养院,浙江杭州310007 [2]南京军区南京总医院心内科,江苏南京210002 [3]解放军第97医院心内科,江苏徐州221004

出　　处：《东南国防医药》2005年第4期257-259,共3页Military Medical Journal of Southeast China

摘　　要：目的总结用INOUE球囊经皮肺动脉瓣成形术(percutaneousballoonpulmonaryvalvuloplasty,PBPV)治疗肺动脉瓣狭窄18例患者的经验。方法肺动脉瓣狭窄患者18例,采用介入和超声多普勒评价经皮球囊肺动脉瓣成形术的疗效。结果18例PBPV患者术后即刻右心室收缩压由(101.4±28.2)mmHg降至(48.5±16.7)mmHg(P<0.01),右房压由(16.9±7.5)mmHg降至(9.8±4.3)mmHg(P<0.05),肺动脉压由(15.2±3.1)mmHg升至(23.1±5.6)mmHg(P<0.05),肺动脉与右心室跨瓣压差(ΔP)由(76.5±25.1)mmHg降至(21.7±12.2)mmHg(P<0.01)。多普勒随访结果术后3个月跨瓣压差与术后即刻比较,差异有显著性(P<0.05)。结论经皮球囊肺动脉瓣成形术治疗肺动脉瓣狭窄安全有效。Objective To review the experience of percutaneous INOUE balloon dilation of valvular pulmonary stenosis in 18 cases. Methods Percutaneous balloon dilation were adopted in totally 18 eases of valvular pulmonary stenosis and its effect was evaluated by echocardiography and angiocardiography. Results The mean systolic pressure of right ventricle decreased from （101.4 ± 28.2） mmHg to （48.5±16.7） mmHg （P〈0.01） just after percutaneous balloon dilation, the mean pressure of right atrium decreased from（16.9±7.5） mmHg to （9.8±4.3） mmHg （P〈0.05）,the mean pressure of pulmonary artery increased from （15.2±3.1） mmHg to （23.1±5.6） mmHg （P〈0. 05） ,the pressure gradient between right ventricle and pulmonary artery decreased from （76.5±25.1） mmHg to （21.7±12.2） mmHg （P〈0.01）. Compared with the pressure gradient between right ventricle and pulmonary artery just after dilation, the pressure gradient 3 months after dilation decreased with statistical difference （P〈0.05） according to echocardiography. Conclusions Percutaneous INOUE balloon dilation of valvular pulmonary stenosis is effective and safe.

关 键 词：肺动脉瓣狭窄 经皮球囊肺动脉瓣成形术 

分 类 号：R542.54[医药卫生—心血管疾病]