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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

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【作者】 盛臻强王世明管耘园华守明王毅金恒

【Author】 SHENG Zhenqiang,WANG Shiming,GUAN Yunyuan,et al.(Department of Cardiology The Second Affiliated Hospital of Nantong Medical College,Jiangsu,276000,China)

【机构】 南通医学院第二附属医院心内科山东临沂市人民医院内科南通医学院第二附属医院心内科 226000276003226000226000

【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、疗效确切

【Abstract】 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.

  • 【分类号】R541.2
  • 【被引频次】1
  • 【下载频次】16
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