二尖瓣狭窄球囊成形术后心房颤动的复律治疗及其影响因素  

The Effect and Definitive Factors of Atrial Fibrillation Conversion After Percutaneous Balloon Mitral Valvuloplasty in Patients With Rheumatic Mitral Stenosis

作　　者：江洪[1] 黄从新[1] 王晋明[1] 许家琍[1] 李庚山[1] 陈元秀[1] 唐其柱[1] 郭伟[1] 漆曙辉[1] 王小红[1] 周秋凤[1] 

机构地区：[1]湖北医科大学附属第一医院心脏内科

出　　处：《心脏起搏与心电生理杂志》1995年第4期186-187,共2页

基　　金：湖北省教委青年基金

摘　　要：为评价二尖瓣球囊成形术（ＰＢＭＶ）后心房颤动的复律疗效及维持窦性心律的影响因素，对３０例风湿性心脏病二尖瓣狭窄伴心房颤动（简称二狭房颤）的患者在ＰＢＭＶ后１～２周进行复律治疗。结果显示：ＰＢＭＶ后近期复律治疗房颤均能转复为窦性心律。随访１９～４６（３１．６±７．１）月，２２例患者仍维持窦性心律（７３．３％）。房颤复发与患者的年龄、二狭程度无明显关系。房颤病程超过１２个月，ＰＢＭＶ后左房残留压较高和术后左房回缩程度小是房颤复发的重要影响因素。Thirty patients with atrial fibrillation caused by rheumatic mitral stenosis underwent defibrillation treatment during 1 to 2 weeks after percutaneous balloon mitral valvuloplasty(PBMV).It was shown that defibrillation treatment recently after PBMV could convert atrial fibrillation to sinus rhythm and 22 patients could maintain normal rhythm during 19 to 46(3.1 6±7.1)months follow-up.There was no correlation of age and degree of mitral stenosis with the recurrence of this arrhythmia.The left atrial pressure and the degree of left atrial size decrease after PBMV were important definitive factors to influence the maintaining of sinus rhythm.

关 键 词：二尖瓣狭窄 球囊成形术 手术后 心房纤颤 治疗 

分 类 号：R654.2[医药卫生—外科学]