二尖瓣球囊成型术1063例临床分析  

Clinical Analysis of Percutaneous Balloon Mitral Valvotomy in 1063 Patients

作　　者：曾智[1] 方元[1] 傅华[1] 张庆[1] 

机构地区：[1]华西医科大学附属第一医院心内科

出　　处：《华西医科大学学报》1999年第1期85-87,共3页Journal of West China University of Medical Sciences

摘　　要：为评价经皮二尖瓣球囊成型术的疗效及其主要并发症的预防和处理，对１０６３例完成此治疗的患者临床资料进行了分析。结果：①该方法安全、成功率高（９８．２％）；②并发症以心脏穿孔和／或心包填塞（０．７５％）最常见，其次为脑栓塞（０．２８％）、二尖瓣重度返流（０．２８％）及房缺（０．１９％）等。结果提示：该方法效果好、危险小。This article reports the clinical study of 1063 patients who underwent percutaneous balloon mitral valvotomy (PBMV) and 1043 patients among them who did successfully (98.2%). After the procedure, left atrial mena pressure fell from 3.19±1.06kPa to 2.00±0.93kPa( P<0.001) , mitral pressure gradient decreased from 2.79±1 20kPa to 1.33±1.06kPa ( P<0.001 ). Disappearance of diastolic murmur and significant improvement of cardiac fuction were achieved. Among the 20 failed cases, there were cardiac perforation and/or pericardial tamponade (8 cases), cerebral embolism (3 cases), severe mitral regurgitation (3 cases), artrial septal defect (2 cases) and discontinuance of the procedure due to various causes. The short term outcome of PBMV is satisfying, so it can replace the surgical closed valvotomy as an effective treatment for selected patients with mitral stenosis.

关 键 词：球囊成型术 二尖瓣狭窄 疗效 

分 类 号：R654.2[医药卫生—外科学]