风湿性心脏病左房室瓣狭窄介入治疗疗效评价  

Transcatheter therapy for rheumatic mitral stenosis

作　　者：盛臻强[1] 王世明[2] 管耘园[1] 华守明[1] 王毅[1] 金恒[1] 

机构地区：[1]南通医学院第二附属医院心内科,226000 [2]山东临沂市人民医院内科,276003

出　　处：《临床中老年保健》2003年第3期198-199,共2页

摘　　要：目的　评价经皮左房室瓣球囊成形术治疗左房室瓣狭窄的疗效。方法　穿刺股静脉 ,送入Mullins导管 ,以Brockenbrough穿刺针穿刺房间隔 ,送入左房导丝 ,通过输送器沿导丝送入Inoue球囊扩张左房室瓣。结果　 7例患者左房室瓣口面积平均 0 96± 0 19cm2 ,术后左房室瓣口面积 2 14± 0 2 0cm2 (P <0 0 5 ) ;左房平均压、肺动脉平均压明显下降 (P <0 0 5 ) ,心功能明显提高。随访临床症状持续改善。结论　PBMV治疗左房室瓣狭窄安全。Objective To evaluate the clinical effects and the long term results of percutaneous ballon mitral valvuloplasty(PBMV) in patients with rheumatic mitral stenosis.Methods PBMV was performed in 7 patients with rheumatics mitral stenosis.Results The mean left atrical pressure and pulmonary pressure were significantly reduced(P<0.05),and the mitral valve area was significantly increased after PBMV(P<0.05).Conclusion The results show that PBMV is effective for rheumatic mitral stenosis and has good long term results.

关 键 词：左房室瓣狭窄 经皮左房室瓣球囊成形术 

分 类 号：R541.2[医药卫生—心血管疾病] R815[医药卫生—内科学]