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|本期目录/Table of Contents|

二尖瓣球囊成形术长期随访结果(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2002年第3期
页码:
232-234
栏目:
临床研究
出版日期:
2002-05-01

文章信息/Info

Title:
Long- term follow up after percutaneous balloon mitral valvuloplasty
作者:
何　争;  张玉顺;  贾国良;  郑昌柱 王晓燕
第四军医大学西京医院心血管内科, 陕西 西安 710032
Author(s):
HE Zheng ;  ZHANG Yu-Shun;  JIA Guo-Liang ;  ZHENG Chang-zhu;  WANG Xiao-yan
Department of Cardiology, Xijing Hospital, Forth Military Medical University, Xi’an, Shaanxi 710032,China
关键词:
二尖瓣狭窄;  球囊扩张术;  随访
Keywords:
mitral valve stensis;  balloon dilatation;  follow-up studies
分类号:
R542.51
DOI:
-
文献标识码:
A
摘要:
目的 随访经皮二尖瓣球囊成形术(PBMV ) 治疗风湿性二尖瓣狭窄长期疗效。方法 采用Inoue 单球囊扩张狭窄的二尖瓣, 对PBMV 术患者227 例进行追踪随访, 评价临床心功能和瓣口状况。平均随访时间(6.3±2.1) 年。结果 PBMV 术后二尖瓣口面积(MVA ) 显著扩大, 从(1.01±0.28) cm 2 扩至(2.34±0.17) cm 2 (P < 0. 01) , 长期随访,MVA 逐渐减小至(1.66±0.37) cm 2 (P < 0. 01)。再狭窄率为22.9% 。二尖瓣跨瓣压差(MVG) 从(19.5±6.2)mm Hg 分别减少至术后、随访的(7.4±5.1) 和(10.1±4 9) mm Hg, 差别显著(P < 0. 01)。随访中临床心功能改善仍然维持1 个级别以上者达77. 1 % 。随访射血分数(EF) 变化不大、二尖瓣返流(MR) 较术前、后明显加重(P <0101)。结论 PBMV 治疗二尖瓣狭窄长期临床疗效良好。
Abstract:
AIM To evaluate the long-term outcome of percutaneous balloon mitral valvuloplasty (PBMV).METHODS 227 patients with rheumatic mitral stenosis underwent PBMV with the Inoue balloon catheter for a follow-up (FU) period of 6.3±2.1 years. The clinical status and echocardiographic variables were assessed.RESULTS The mitral valve areas after PBMV and FU were significantly larger than that before PBMV (planimetry 2.34±0.17 cm2, 1.66±0.37 cm2vs 1.01±0.28 cm2, respectively,P<0.01). The restenosis rate at the end of the follow-up period was 22.9%. The mean transmitral valve gradients after PBMV and FU were significantly less than that before PBMV (7.4±5.1 mm Hg, 10.1±4.9 mm Hg vs 19.5±6.2 mm Hg, respectively,P<0.01). Functional status still improved above one class (NYHA) was 77.1% of patients at FU. Ejection fraction had not obvious difference. Mitral regurgitation at FU was significantly than at pre-or post-PBMV,P<0.01.CONCLUSION PBMV is effective therapy with good long-term results for selected patients with mitral stenosis.

参考文献/References

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[4] Shiran A, Goldstein SA, Ellahham S,et al. Accuracy of two-dimensional echocardiographic planimetry of the mitral valve area before and after balloon valvuloplasty [J].Cardiology,1998; 90(3), 227-230.

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[7] Cheng TO. Long-term results of percutaneous balloon mitral valvuloplasty using the Inoue balloon catheter technique [J].Circulation, 2000,101(8): E91.

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[9] Tokmakoglu H, Vural KM, Ozatik MA,et al. Closed commissurotomy versus balloon valvuloplasty for rheumatic mitral stenosis [J].J Heart Valve Dis, 2001,10(3): 281-287.

[10]傅向阳,彭献波,吕俊豪,等.二尖瓣储备功能对二尖瓣球囊扩张术后远期心功能评价的意义[J].中国介入心脏病学杂志,2001,9(4):203-207.

备注/Memo

备注/Memo:
收稿日期：2001-06-26.
更新日期/Last Update: 2005-05-01