应用经皮球囊肺动脉瓣成形术(PBPV)姑息治疗法洛四联症13例,其中男8例,女5例;平均年龄(3.7±2.1)岁。SaO_2由术前平均75.5％±4.3％上升至术后91.3％±4.7％(P<0.001),肺动脉/漏斗部压差由(27±2.78)mmHg下降至(3.95...应用经皮球囊肺动脉瓣成形术(PBPV)姑息治疗法洛四联症13例,其中男8例,女5例;平均年龄(3.7±2.1)岁。SaO_2由术前平均75.5％±4.3％上升至术后91.3％±4.7％(P<0.001),肺动脉/漏斗部压差由(27±2.78)mmHg下降至(3.95±8.21)mmHg(P<0.01),肺动脉瓣环大小与术前相仿(13mm±3.5mm vs 14mm±2.7mm,P>0.05)。随访(1～2)年,病情稳定,Sa O_2大多维持在85％左右,均接受外科手术。结果表明,PBPV对一些病例作为替代外科姑息手术治疗法洛四联症是可行的,为最终外科根治创造良好条件。展开更多
Two cases of percutaneous balloon pulmonary valvulo-plasty were reported in this paper Case 2 was Fallot’s trilogy The transvalvular gradient decreased ftom 13. 9 to 3. 9 kpa in case 1 and 15. 3 to 4. 5 kpa in case 2...Two cases of percutaneous balloon pulmonary valvulo-plasty were reported in this paper Case 2 was Fallot’s trilogy The transvalvular gradient decreased ftom 13. 9 to 3. 9 kpa in case 1 and 15. 3 to 4. 5 kpa in case 2 after dilation’ The sys-temic arterial oxygen saturation(SAoS)increased from 82%to89% in case 2 after operation. The effects of follow - up were satisfactory.with reaching nearly to normal level of SAOS in case2. The indications and procedutes of the valvuloplasty methods were discussed in detail.展开更多
文摘应用经皮球囊肺动脉瓣成形术(PBPV)姑息治疗法洛四联症13例,其中男8例,女5例;平均年龄(3.7±2.1)岁。SaO_2由术前平均75.5％±4.3％上升至术后91.3％±4.7％(P<0.001),肺动脉/漏斗部压差由(27±2.78)mmHg下降至(3.95±8.21)mmHg(P<0.01),肺动脉瓣环大小与术前相仿(13mm±3.5mm vs 14mm±2.7mm,P>0.05)。随访(1～2)年,病情稳定,Sa O_2大多维持在85％左右,均接受外科手术。结果表明,PBPV对一些病例作为替代外科姑息手术治疗法洛四联症是可行的,为最终外科根治创造良好条件。
文摘Two cases of percutaneous balloon pulmonary valvulo-plasty were reported in this paper Case 2 was Fallot’s trilogy The transvalvular gradient decreased ftom 13. 9 to 3. 9 kpa in case 1 and 15. 3 to 4. 5 kpa in case 2 after dilation’ The sys-temic arterial oxygen saturation(SAoS)increased from 82%to89% in case 2 after operation. The effects of follow - up were satisfactory.with reaching nearly to normal level of SAOS in case2. The indications and procedutes of the valvuloplasty methods were discussed in detail.
