经皮肺动脉瓣球囊扩张治疗先天性肺动脉瓣狭窄  

Percutaneous balloon pulmonary valvuloplasty for congenital valvular pulmonary stenosis

作　　者：程自平[1] 徐岩[1] 朱润硕[1] 许邦龙[1] 陈斌[1] 林敏[2] 

机构地区：[1]安徽医科大学第一附属医院心内科,合肥230022 [2]安徽医科大学第一附属医院心外科,合肥230022

出　　处：《安徽医科大学学报》2003年第1期70-71,共2页Acta Universitatis Medicinalis Anhui

摘　　要：目的　观察先天性肺动脉瓣狭窄经皮球囊扩张成形术 (PBPV)即刻疗效、安全性。方法　对我院开展的PBPV 6例青少年肺动脉瓣狭窄进行分析。结果　 6例治疗均获得成功 ,右室收缩压由术前 9 82kPa± 1 57kPa降为术后4 84kPa± 0 83kPa。肺动脉收缩压由术前 2 58kPa± 0 85kPa升为术后 3 98kPa± 1 0 6kPa。右室肺动脉跨瓣压差由术前 6 82kPa± 1 53kPa降为术后 1 0 9kPa± 0 84kPa。并且术后体检杂音均明显减弱 ,未发现明显并发症。结论　PBPV手术成功率高、并发症少、安全有效 。Objective To observe the safety and immediate e ffect in congenital valvular pulmonary stenosis using PBPV. Method s Analysing 6 youngest cases with valvular pulmonary stenosis perfo rmed PBPV. Results PBPV in 6 cases all successed. The systol ic pressure of right ventricle decreased from 9 82 kPa±1 57 kPa (pre valvuplasty) to 4 84 kPa±0 83 kPa (post valvuplasty) with that of pul monary artery increasing from 2 58 kPa±0 85 kPa to 3 98 kPa±1 06 kPa . And the pressure gradient across pulmonic valve decreased from 6 82 kPa±1 53 kPa to 1 09 kPa±0 84 kPa. The murmur decreased significant ly without significant complications. Conclusion PBPV is the best treatment for valvular pulmonary stenosis with a high success rat e and few complications. It is safe and effective .

关 键 词：经皮肺动脉瓣球囊扩张 治疗 先天性肺动脉瓣狭窄 疗效 安全性 

分 类 号：R654.2[医药卫生—外科学]