| INONUE球囊经皮肺动脉瓣成形术治疗成人肺动脉瓣狭窄临床疗效分析 |
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| 引用本文： | 代政学,樊川民,李寰,张玉顺,郭文怡,杨省力,王海昌.INONUE球囊经皮肺动脉瓣成形术治疗成人肺动脉瓣狭窄临床疗效分析[J].第四军医大学学报,2009(21):2373-2375. |
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| 作者姓名： | 代政学 樊川民 李寰 张玉顺 郭文怡 杨省力 王海昌 |
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| 作者单位： | 第四军医大学西京医院心内科;咸阳市中心医院;西安交通大学第一附属医院心内二科; |
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| 基金项目： | 国家“十一五”科技支撑计划课题(2007BA105B03) |
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| 摘 要： | 目的：探讨应用Inoue球囊经皮肺动脉瓣成形术（PBPV）治疗成人肺动脉瓣狭窄（PVS）的临床疗效.方法：成人PVS患者56例,采用PBPV进行治疗,并以超声多普勒评价其疗效.结果：56例行PBPV患者术后即刻右心室收缩压由（103.4±27.2）mmHg（1mmHg=0.133kPa）降至（49.5±17.6）mmHg（P〈0.01）,右房压由（17.2±5.5）mmHg降至（9.2±4.4）mmHg（P〈0.01）,肺动脉压由（14.8±3.2）mmHg升至（22.1±5.3）mmHg（P〈0.05）,肺动脉与右心室跨瓣压差（△P）由（78.2±26.1）mmHg降至（22.8±12.4）mmHg（P〈0.01）.多普勒超声随访：术后3mo△P较术后即刻进一步显著下降（P〈0.05）.结论：INONUE球囊PBPV治疗成人PVS安全有效.
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| 关 键 词： | 肺动脉瓣狭窄 球囊成形术 成人 INONUE球囊 |
A clinical analysis of percutaneous balloon pulmonary valvuloplasty with inoue-balloon for pulmonary valve stenosis in adults |
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| DAI Zheng-Xue,FAN Chuan-Min,LI Huan,ZHANG Yu-Shun,GUO Wen-Yi,YANG Sheng-Li,WANG Hai-Chang.A clinical analysis of percutaneous balloon pulmonary valvuloplasty with inoue-balloon for pulmonary valve stenosis in adults[J].Journal of the Fourth Military Medical University,2009(21):2373-2375. |
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| Authors: | DAI Zheng-Xue FAN Chuan-Min LI Huan ZHANG Yu-Shun GUO Wen-Yi YANG Sheng-Li WANG Hai-Chang |
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| Institution: | DAI Zheng-Xue1,FAN Chuan-Min2,LI Huan1,ZHANG Yu-Shun3,GUO Wen-Yi1,YANG Sheng-Li1,WANG Hai-Chang11Department of Cardiology,Xijing Hospital,Fourth Military Medical University,Xi'an 710033,China,2Xianyang Central Hospital,Xianyang 712000,3Department of Cardiology,First Affiliated Hospital,Xi'an Jiaotong University,Xi'an 710061 |
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| Abstract: | AIM：To evaluate the clinical efficacy of percutaneous balloon pulmonary valvuloplasty（PBPV） with inoue-balloon for pulmonary valve stenosis （PVS） in adults.METHODS：The 56 cases with PVS were adopted by PBPV and the therapeutic results were evaluated by echocardiography. RESULTS：The mean systolic pressure of right ventricule decreased from （103.4±27.2） to （49.5±17.6）mmHg （P〈0.01）;the mean pressure of right atrium from （17.2±5.5） to （9.2±4.4）mmHg （P〈0.05） ;the mean pressure of pulmonary artery increased from （ 14.8 ± 3.2） to （22.1 ± 5.3 ） mmHg （ P 〈 0.05 ） ; the pressure gradient between right ventricule and pulmonary artery decreased from （78.2±26.1） to（22.8 ±12.4）mmHg（P 〈0.01） just after PBPV in 56 patients . The pressure gradient between right vemriele and pulmonary continues to decrease （ P 〈 0.05 ） after 3 months. CONCLUSION： Percutaneous inoue ballon dilation for pulmonary valve stenosis in adults is effective and safe. |
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| Keywords: | pulmonary valve stenosis valvuloplasty inoue-balloon adults |
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