摘要
目的通过１５２例经皮二尖瓣球囊成形术（ＰＢＭＶ）病例分析，总结ＰＢＭＶ术中、术后提高疗效及防止并发症的经验和体会。方法采用Ｉｎｏｕｅ法进行ＰＢＭＶ，并对部分操作技术进行了改进。术后对１１０例病人随访２４±１０个月，观察ＰＢＭＶ术后近期及远期疗效。结果１５２例中１５１例成功，成功率９９５％；长期随访的１１０例患者，７６％心功能稳定于ＮＹＨＡⅠ级，二尖瓣口面积（ＭＶＡ）（２０６±０４０）ｃｍ２，有５３％发生再狭窄，无一例死亡。结论作者认为严格选择病人、熟练地进行房间隔穿刺与球囊扩张。
Objective To conclude how to improve the effect of PBMV and prevent its complications,152 patients with rhumatic mitral stenosis(MS) undergone PBMV were analysis.Methods PBMV was performed according to Inoue's method,and some measurements were improved.110 patients were followed up for (24±10) months.Result 151 of 152 operations (99 5%) were successful,76% of the 110 patient's heart function were NYHA Ⅰ,and MVA were (2 06±0 40)cm 2, and restenosis rates were 5 3%.None of the 152 patients died.Conclusion A marked improvement in procedural success and complication rates is attributable to refinement of patient selection criterion,technical advances in the procedure,and operator experience.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
1999年第3期160-162,共3页
Chinese Journal of Practical Internal Medicine
关键词
二尖瓣狭窄
球囊成形术
疗效
并发症
mitral stenosis(MS) percutaneous balloon mitral valvuloplasty therapeutic effect complication
