经皮球囊二尖瓣成形术治疗二尖瓣狭窄并左房血栓形成的临床研究  

Clinical study of percutaneous balloon mitral valvuloplasty in patients with mitral stenosis and left atrial thrombus

作　　者：王红勇[1] 杨成明[1] 王旭开[1] 曾春雨[1] 周林[1] 傅春江[1] 方玉强[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所心血管内科,重庆400042

出　　处：《重庆医学》2010年第2期195-196,共2页Chongqing medicine

摘　　要：目的评价经皮球囊二尖瓣成形术（PBMV）治疗风湿性心脏病二尖瓣狭窄（MS）合并左心房血栓形成的可行性、安全性和有效性。方法应用华法林抗凝治疗3～6个月后左房血栓仍存的风心病MS合并左心房血栓形成患者共20例，其中男5例，女15例，年龄22～55岁，平均（36．1±8．3）岁。采用常规方法进行PBMV，观察术中及随访1年期间有无体循环血栓栓塞并发症。结果PBMV成功率为100％，术中及术后随访期间血流动力学及心功能明显改善．无血栓栓塞并发症发生。结论对于合并左心房血栓患者经充分的华法林抗凝治疗，PBMV是安全可行且疗效满意的。Objectlve To evaluate the safety and efficacy of percutaneous balloon mitral valvuloplasty（PBMV） in the patients with rheumatic mitral stenosis and left atrial thrombus. Methods Twenty patients with mitral stenosis and left atrial thrombus were undergone PBMV, 15 women and 5 men, the average age（36.1 ± 8.3） years. All cases received warfarin orally every day for 3- 6 monhts before undergoing PBMV using Inoue single ballon technique. To see whether systemic thromboembolism complication occurred during the operation and one year follow up term. Results All the operations by PBMV were successful. There were no complication of systemic thromboembolism during and after PBMV. The hemodynamic parameters, mitral valve area and cardiac function were markedly improved. Conclusion PBMV in the patients with rheumatic mitral stenosis and left atrial thrombus is safe and effective after sufficient anticoagulation treatment.

关 键 词：二尖瓣狭窄 左心房血栓 经皮球囊二尖瓣成形术 

分 类 号：R541.2[医药卫生—心血管疾病]