| 再次经皮球囊二尖瓣成形术临床效果观察 |
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| 引用本文： | 魏延津,宋开友,侯亚敏,张秋林,李桂美,耿世彪,侯子山.再次经皮球囊二尖瓣成形术临床效果观察[J].齐鲁医学杂志,2011,26(6):519-521. |
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| 作者姓名： | 魏延津 宋开友 侯亚敏 张秋林 李桂美 耿世彪 侯子山 |
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| 作者单位： | 临沂市人民医院心内科,山东临沂,276003 |
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| 摘 要： | 目的观察再次经皮球囊二尖瓣成形术(PBMV)治疗PBMV后二尖瓣再狭窄的临床效果。方法 82例PBMV后二尖瓣再狭窄的病人,再次采用我科小弧度法PBMV治疗,并进行近远期疗效随访。结果 82例病人经再次PBMV治疗后,成功78例,成功率为95.1%。术后病人左心房平均压、二尖瓣口面积、跨瓣压差、肺动脉收缩压明显改善,与术前比较差异有显著性(t=2.35~4.76,P均<0.05);而左心房内径无明显改变(t=1.54,P>0.05)。78例病人术后随访(76±23)个月,结果二尖瓣口面积仍明显大于再次PBMV术前,跨瓣压差明显小于再次PBMV术前(t=2.16~3.68,P<0.05),且与术后即刻结果比较差异均无显著性(t=1.24~1.59,P均>0.05),大多数病人临床症状和生活质量明显改善。结论对于PBMV后再狭窄的病人,只要病例选择适当,手术操作正确,再次PBMV后即刻及远期疗效好。
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| 关 键 词： | 二尖瓣狭窄 经皮球囊成形术 治疗结果 |
OUTCOME AFTER REPEATED PERCUTANEOUS BALLOON MITRAL VALVULOPLASTY |
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| WEI Yanjin,SONG Kaiyou,HOU Yamin,ZHANG Qiulin,LI Guimei,GENG Shibiao,HOU Zishan.OUTCOME AFTER REPEATED PERCUTANEOUS BALLOON MITRAL VALVULOPLASTY[J].Medical Journal of Qilu,2011,26(6):519-521. |
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| Authors: | WEI Yanjin SONG Kaiyou HOU Yamin ZHANG Qiulin LI Guimei GENG Shibiao HOU Zishan |
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| Institution: | WEI Yanjin,SONG Kaiyou,HOU Yamin,ZHANG Qiulin,LI Guimei,GENG Shibiao,HOU Zishan(Department of Cardiology,Linyi People's Hospital,Linyi 276003,China) |
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| Abstract: | Objective To observe the clinical outcome of repeated percutaneous balloon mitral valvuloplasty(PBMV) for restenosis after previous PBMV.Methods Eighty-two patients with mitral restenosis after previous PBMV were treated by repeated small curve PBMV.Short-and long-term follow-ups were conducted.Results Of the 82 patients treated,78(95.1%) were done well.Postoperatively,left atrial mean pressure,mitral valve area,mitral valve gradient and pulmonary artery systolic pressure improved significantly compared wit... |
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| Keywords: | mitral valve stenosis percutaneous balloon valvuloplasty treatment outcome |
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