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经皮球囊肺动脉瓣成形术133 例(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第6期
页码:
481-483
栏目:
先心病介入治疗
出版日期:
2001-11-01

文章信息/Info

Title:
Percutaneous balloon pulmonary valvuloplasty in 133 patients
作者:
韩秀敏;  朱鲜阳;  张玉威;  侯传举;  全　薇;  邓东安;  王琦光
沈阳军区总医院先心内科, 辽宁沈阳110016
Author(s):
HAN Xiu-min;  ZHU Xian-yang ;  ZHANG Yu-wei;  HOU Chuan-ju;  QUAN Wei;  DENG Dong-an; WANG Qi-guang
Shenyang General Hospital, PLA , Shenyang Liaoning 110016, China
关键词:
肺动脉瓣狭窄;  球囊扩张
Keywords:
pulmonary valve stenosis;  balloon dilatation
分类号:
R541. 4
DOI:
-
文献标识码:
A
摘要:
目的 评价经皮球囊肺动脉瓣成形术(PBPV) 治疗肺动脉瓣狭窄(PS) 的临床疗效和安全性。方法 1989～2000年PBPV 患者共133 例, 年龄1～ 57 (12±10) 岁。结果 PBPV 术后即刻右室收缩压由97±35 mmHg 降至52±20mmHg, 肺动脉至右心室跨瓣压差由67±36 mmHg 降至12±11mmHg (P < 0. 01)。28 例发生右室流出道痉挛, 2例患者行外科手术治疗, 余者口服普萘洛尔3～ 6个月。超声随访6个月～ 8年, 右室一肺动脉收缩压差明显下降。结论 PBPV 操作安全, 疗效可靠, 可作为治疗各年龄组PS的首选方案。
Abstract:
AIM To evaluate the safety and effectiveness of percuteneous balloon pulmonary valvuloplasty (PBPV ) for pulmonary valve stenosis (PS). METHODS From March 1989 to November 2000, 133 patients of age 12±10 ( ranged from 1～ 57) years were studied. RESULTS Righ tventrical systolic pressure decreased from 97±35 to 52±20 mmHg and systolic pressure gradient across the pulmonary valve decreased from 67±36 to 12±11mmHg (P < 0. 01) immediately after PBPV. Twenty eight patients developed reactive infundibular spasm , 2 of them underwent surgical operation, the other were treated with propranolol for 3～ 6 months. Follfow ed up 0. 5～ 8years by echocardiography, their systolic pressure gradient between right ventricle and pulmonary artery decreased significantly. CONCLUSION PBPV is a safe and effective method,which is the first choice for patients of any age groups.

参考文献/References

[1] 朱鲜阳, 钱武扬, 张玉威, 等. 经皮球囊肺动脉瓣成形术治疗先天性肺动脉瓣狭窄20 例报告[J]. 临床心血管病杂志, 1992, 8:24- 26.

[2] Tynan M ,Baker EJ , Rohmer J , et al. Percutaneous balloon pulmonary valvulop lasty[J]. Br Heart J , 1985, 53: 520- 524.

[3] Lip GY, Singh SP,DeGiovanni J. Percutaneous balloon valvuloplasty for congenital pulmonary valves stenosis in adults [J].Clin Cardiol, 1999, 22: 733- 737.

[4] Lau KW , Hung JS,Wu JJ , et al. Pulmonary valvuloplasty in adult using the Inoue balloon catheter [J]. Cathe Cardiovasc Diagn, 1993, 29: 99- 104.

[5] Beekman RH, Lloyd TR. Balloon valvulopasty and stenting for congenital heart disease [A]. Topol E. Textbook of Interventional Cardiology [M]. 2nd ed. Philadelphia:WB Saunders Comany, 1994. 1277- 1281.

[6] Tentolouris CA , Kyriakidis MK, Gavaliatsis IP, et al. Percutaneous pulmonary valvuloplasty in an octogenarian with calcific pulmonary stenosis[J]. Chest, 1992, 101: 1456- 1458.

[7] Mccrindle BW , Kan JS. Long-term results after blloon pulmonay valvuloplasty[J]. Circulation, 1991, 83: 1915- 1922.

[8] Jarrar M,Bethout F, Farhat MB. Long-term invasive and noninvasive results of percutaneous balloon pulmonary valvuloplasty in children, adolescents, and adults [J]. Am Heart J , 1999, 138(5 pt 1) : 950- 954.

备注/Memo

备注/Memo:
收稿日期：2001-07-09.
更新日期/Last Update: 2001-11-01