摘要
目的 探讨反复风湿活动的二尖瓣狭窄 (MS)患者 ,长期间断抗风湿治疗无效后行经皮球囊二尖瓣成形术的疗效。方法 对2 3例行经皮球囊二尖瓣成形术 (PBMV)并随访。结果 术后患者心功能及体质明显改善 ,经正规抗风湿治疗及预防链球菌感染后 ,风湿活动停止。随访 36～ 81月 ,仅 2例发生二尖瓣再狭窄。结论 反复风湿活动的 MS患者 ,长期抗风湿治疗无效 ,可先行 PBMV,再抗风湿治疗 ,可取得较好疗效。
Objective To evaluate the effects of percutaneous balloon mitral valvuloplasty (PBMV) on repeated rheumatism attacks after continual anti rheumatic treatment in vain over a long period of time.Methods 23 cases received treatment by PBMV and follow up visits were performed.Results After operation,patients' cardiac function and their physique were improved obviously and the activity of rheumatism ceased after routine anti rheumatic treatment and prevention of streptococcal infection.Follow up visits for 36～81 months showed that mitral re stenosis occurred to only 2 patients.Conclusion Patients with mitral stenosis whose rheumatism attacks repeatedly in spite of longterm anti rheumatic treatment may be treated with PBMV first and then given anti rheumatism.In this way,a better curative effect can be obtained.
出处
《中国综合临床》
2000年第12期897-898,共2页
Clinical Medicine of China
关键词
二尖瓣狭窄
风湿活动
经皮球囊二尖瓣成形术
Mitral stemosis
Rheumatism activity
Percutaneous balloon mitral valvuloplasty
