本文選題：肺動(dòng)脈瓣狹窄 + 超聲心動(dòng)描記術(shù)　； 參考：《中國(guó)循環(huán)雜志》2017年09期

【摘要】：目的:通過與傳統(tǒng)放射線引導(dǎo)方法相比較,評(píng)價(jià)完全超聲引導(dǎo)下經(jīng)皮肺動(dòng)脈瓣球囊成形術(shù)(PBPV)的安全性和有效性。方法:收集我院2013-03至2016-08完全超聲引導(dǎo)下行PBPV患者102例(超聲組),同期傳統(tǒng)放射線引導(dǎo)下行PBPV患者280例(放射線組)。兩組患者術(shù)后均以超聲心動(dòng)圖進(jìn)行隨訪和評(píng)價(jià)治療效果。結(jié)果:兩組患者年齡、體重、肺動(dòng)脈瓣環(huán)直徑、術(shù)前肺動(dòng)脈瓣跨瓣壓差、球囊直徑、術(shù)后即刻跨瓣壓差、住院時(shí)間及住院費(fèi)用差異均無統(tǒng)計(jì)學(xué)意義(P均0.05)。超聲組和放射線組手術(shù)成功率分別為99.0%和100%(P=0.267),超聲組有1例患者因擴(kuò)張后右心室流出道肌肉痙攣轉(zhuǎn)為常規(guī)外科手術(shù)。放射線組術(shù)中操作時(shí)間(min)長(zhǎng)于超聲組(38.9±9.2比34.6±10.0,P0.001),放射線組放射線時(shí)間為(3.9±1.2)min。術(shù)后門診平均隨訪(25.5±13.2)個(gè)月,超聲組和放射線組肺動(dòng)脈瓣跨瓣壓差(mm Hg,1 mm Hg=0.133 k Pa)分別為(16.2±4.3比15.3±4.5,P=0.120),兩組患者均無死亡、外周血管損傷、心臟穿孔、心包積液等嚴(yán)重并發(fā)癥。結(jié)論:完全超聲引導(dǎo)下PBPV不僅能夠完全避免放射線及對(duì)比劑,而且保持了傳統(tǒng)經(jīng)皮介入治療微創(chuàng)、安全及療效確切的優(yōu)點(diǎn)。
[Abstract]:Objective: to evaluate the safety and efficacy of percutaneous balloon pulmonary valvuloplasty (PBPVs) guided by complete ultrasound. Methods: 102 PBPV patients (ultrasound group) and 280 PBPV patients (conventional radiography-guided PBPV group) were collected from 2013-03 to 2016-08. The patients in both groups were followed up and evaluated by echocardiography after operation. Results: there were no significant differences in age, body weight, pulmonary annulus diameter, preoperative pulmonary valve pressure difference, balloon diameter, immediate transvalvular pressure difference, hospitalization time and hospitalization cost between the two groups (P < 0.05). The successful rate of operation in ultrasound group and radiation group was 99.0% and 100% respectively. One patient in ultrasound group was converted to conventional surgery because of spasm of right ventricular outflow tract after dilatation. The operative time of radiation group was 38.9 鹵9.2 vs 34.6 鹵10.0 P 0.001g, and that of radiation group was 3.9 鹵1.2 min. The average follow-up period was 25.5 鹵13.2 months. The pulmonary valve pressure difference of 1 mm Hg=0.133 k Pa1 mm in ultrasound group and radiation group was 16.2 鹵4.3 vs 15.3 鹵4.5 P0.120, respectively. There were no death, peripheral vascular injury, heart perforation, pericardial effusion and other serious complications in both groups. Conclusion: complete ultrasound guided PBPV can not only completely avoid radiation and contrast agents, but also maintain the advantages of minimally invasive, safe and effective percutaneous interventional therapy.
【作者單位】： 中國(guó)醫(yī)學(xué)科學(xué)院北京協(xié)和醫(yī)學(xué)院國(guó)家心血管病中心阜外醫(yī)院心血管外科;
【基金】：基金資助:首都臨床特色應(yīng)用研究(2016-BKJ03)
【分類號(hào)】：R541.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 江金芝,董秀清;老年人心臟瓣膜病變的超聲檢查[J];中國(guó)農(nóng)村衛(wèi)生事業(yè)管理;2004年12期

2 ;診斷學(xué)[J];國(guó)外科技資料目錄.醫(yī)藥衛(wèi)生;2001年04期

3 王濱;;矯正型大動(dòng)脈轉(zhuǎn)位1例[J];醫(yī)學(xué)影像學(xué)雜志;2010年01期

4 高曉瑜,李國(guó)旗;先天性主動(dòng)脈縮窄的超聲表現(xiàn)[J];天津醫(yī)藥;2002年09期

5 張?jiān)廊A，孫啟蔚，，趙佩，陸履s

本文編號(hào)：1789942