经皮二尖瓣狭窄球囊扩张术对心功能的影响  

CHANGE OF CARDIAC FUNCTION ON NON-SIMPLE MITRAL STENOSIS AFTER PBMV BY ECHOCARDIOGRAPHY

作　　者：彭永权[1] 李刚[1] 范忠才[1] 莫余波[1] 黄维义[1] 李家富[1] 

机构地区：[1]泸州医学院附属医院心内科,四川泸州646000

出　　处：《泸州医学院学报》2008年第3期288-289,共2页Journal of Luzhou Medical College

摘　　要：目的:探讨经皮二尖瓣球囊扩张术(PBMV)治疗非单纯性二尖瓣狭窄(Ms)的效果。方法:使用超声心动图检测65例单纯性MS、MS合并轻、中度二尖瓣关闭不全(MR)和MS合并轻、中度主动脉瓣关闭不全(AR)3组患者PBMV术前及术后复查时左室射血分数(LVEF)值和心脏房、室内径大小变化。结果:3组PBMV术后复查时LVEF值较术前明显增大(P<0.001);左室内径与术前比较差异无统计学意义(P>0.05);单纯性MS组和MS合并轻、中度AR组PBMV术后复查时左房内径比术前明显减小(P<0.05);MS合并轻、中度MR组PBMV术后左房内径与术前比较差异无统计学意义(P>0.05)。结论:非单纯性MS患者PB-MV术后心功能有明显好转。Objective：To discuss the effect of percutaneous balloon mitral vaIvuloplasty（PBMV）on non-simple mitral stenosis （MS）.Methods：Sixty-five patients with simple mitral stenosis and non-simple mitral stenosis（including MS with mild-medium MR and MS with mild-medium AR）were examined on the variation of their cardiac function and size by echocardiography before and after PBMV. Results：The left ventricular ejection fraction of three groups significantly increased （P〈 0.001）, there was no significant difference about the internal diameter of left ventricle among three groups before PBMV and after PBMV （P〉0.05）. Internal diameter of left auricle between simple MS and MS with mild-medium AR significantly increased after PBMV （P〉0.05）.Internal diameter of left auricle did not dramatically change after PBMV in group of MS with mild-medium MR （P〉0.05）.Conclusion： Cardiac function of non-simple MS was significantly improved after PBMV.

关 键 词：二尖辩狭窄 球囊扩张术 关闭不全 

分 类 号：R542.51[医药卫生—心血管疾病]