论文部分内容阅读
目的:评价经皮肺动脉瓣球囊成形术对肺动脉瓣狭窄的治疗效果。方法:经皮seldinger穿刺右股动脉成功后,用inoue左房室瓣球囊或自制肺动脉瓣球囊反复扩张肺动脉瓣。结果:20例患者手术均获成功,随访6个月症状明显改善,复诊彩超右室流出道梗阻明显减轻。所有患者术前右室造影均有射流征,术后射流征消失。结论:肺动脉瓣球囊成形术是治疗先天性肺动脉瓣狭窄简便有效、安全、经济的首选方法。
Objective: To evaluate the therapeutic effect of percutaneous pulmonary valvuloplasty on pulmonary valve stenosis. METHODS: After percutaneous seldinger puncture of the right femoral artery was successful, the pulmonary valve of the pulmonary artery was repeatedly inflated with inoue left atrioventricular valve balloon or homemade pulmonary valve balloon. Results: Twenty patients underwent surgery successfully. The symptom was improved obviously at 6 months of follow-up. The obstruction of right ultrasonographic outflow tract in the follow-up group was significantly relieved. All patients had a jet of right ventricular angiography before surgery, postoperative jet levy disappeared. Conclusion: Pulmonary valvuloplasty is the first choice of effective, safe and economical treatment of congenital pulmonary valve stenosis.