30例经皮二尖瓣球囊成形术的临床体会(摘要)
作者：丽娜 王桂云
单位：内蒙古自治区海拉尔市，呼伦贝尔盟人民医院 心内科(021008)
关键词：
中国循环杂志99zk103 目的：为治疗二尖瓣狭窄，我们对30例患者进行了经皮二尖瓣球囊成形术(PBMV)。
方法：共30例患者(男14例)，平均年龄42±12岁(30～68岁)，其中26例伴有反流，18例有心房颤动，全部患者均有轻至中度的心功能不全。使用Inoue球囊导管对全部患者进行了PBMV。
结果：30例患者中，29例PBMV成功，成功率为29%。二尖瓣口平均面积由0.58±0.16 cm2增大至1.68±3.08 cm2,左心房平均压力则由3.91±0.88 kPa减低至2.40±0.58 kPa,二尖瓣跨瓣压差则由3.70±1.60 kPa降至2.03±0.81 kPa。8例患者的反流有改善，多数患者的心功能也有不同程度的改善。未发生严重的并发症。
结论：PTMV是一项安全而有效的治疗二尖瓣狭窄的技术。
Clinical Experience of Percutanous Balloon Mitral Valvuloplasty (30 Cases) (Abstract)
Department of Cardiology, Hulun Beier League People′s Hospital, Inner Mongolia Autonomous Region (021008)
Li Na, Wang Guiyun.
Objective: To cure of the mitral valve stenosis, percutanous balloon mitral valvuloplasty (PBMV) were performed in 30 patients.
Methods: With all 30 cases (Male 14), the mean age were 42±12 years (range 30～68 years), regurgtantion were documented in 26 cases and chronic atrial fibrillation were seen in 18 cases and all patients had mild- to severe hear falure. PBMV were performed by using Inoue balloon for 1～3 times in all patients.
Results: The PBMV were successed in 29 of 30 (29%) cases. The mean size of mitral valvular orifice was enlarged from 0.58±0.16 cm2 (pre-PBMV) to 1.68±3.08 cm2, and the mean pressure in left atrium was decreased from 3.91±0.88 kPa to 2.40±0.58 kPa, the cross mitral gradient was decreased from 3.70±1.60 kPa to 2.03±0.81 kPa. Regurgtation were diminished in 8 cases. Most patients had experienced improvement in heart function. None severe complication occurred.
Conclusion: PBMV is a effective method for the treatment of mitral valve stenosis and with a low complication rate., http://www.100md.com
单位：内蒙古自治区海拉尔市，呼伦贝尔盟人民医院 心内科(021008)
关键词：
中国循环杂志99zk103 目的：为治疗二尖瓣狭窄，我们对30例患者进行了经皮二尖瓣球囊成形术(PBMV)。
方法：共30例患者(男14例)，平均年龄42±12岁(30～68岁)，其中26例伴有反流，18例有心房颤动，全部患者均有轻至中度的心功能不全。使用Inoue球囊导管对全部患者进行了PBMV。
结果：30例患者中，29例PBMV成功，成功率为29%。二尖瓣口平均面积由0.58±0.16 cm2增大至1.68±3.08 cm2,左心房平均压力则由3.91±0.88 kPa减低至2.40±0.58 kPa,二尖瓣跨瓣压差则由3.70±1.60 kPa降至2.03±0.81 kPa。8例患者的反流有改善，多数患者的心功能也有不同程度的改善。未发生严重的并发症。
结论：PTMV是一项安全而有效的治疗二尖瓣狭窄的技术。
Clinical Experience of Percutanous Balloon Mitral Valvuloplasty (30 Cases) (Abstract)
Department of Cardiology, Hulun Beier League People′s Hospital, Inner Mongolia Autonomous Region (021008)
Li Na, Wang Guiyun.
Objective: To cure of the mitral valve stenosis, percutanous balloon mitral valvuloplasty (PBMV) were performed in 30 patients.
Methods: With all 30 cases (Male 14), the mean age were 42±12 years (range 30～68 years), regurgtantion were documented in 26 cases and chronic atrial fibrillation were seen in 18 cases and all patients had mild- to severe hear falure. PBMV were performed by using Inoue balloon for 1～3 times in all patients.
Results: The PBMV were successed in 29 of 30 (29%) cases. The mean size of mitral valvular orifice was enlarged from 0.58±0.16 cm2 (pre-PBMV) to 1.68±3.08 cm2, and the mean pressure in left atrium was decreased from 3.91±0.88 kPa to 2.40±0.58 kPa, the cross mitral gradient was decreased from 3.70±1.60 kPa to 2.03±0.81 kPa. Regurgtation were diminished in 8 cases. Most patients had experienced improvement in heart function. None severe complication occurred.
Conclusion: PBMV is a effective method for the treatment of mitral valve stenosis and with a low complication rate., http://www.100md.com