首页|先天性肺动脉瓣狭窄经皮球囊肺动脉瓣成形术术后再狭窄的高危因素研究进展

先天性肺动脉瓣狭窄经皮球囊肺动脉瓣成形术术后再狭窄的高危因素研究进展

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先天性肺动脉瓣狭窄(pulmonary valve stenosis,PS)是一种常见的先天性心脏病,单纯性PS约占先天性心脏病的8%~10%,另有20%复杂先天性心脏病合并PS.经过近40余年的不断改善,经皮球囊肺动脉瓣成形术(percutaneous balloon pulmonary valvuloplasty,PBPV)因其安全性高、创伤小的优势成为单纯性PS的首选治疗方法.但在长期随访中发现部分患者存在残余狭窄,需再次行PBPV甚至开胸手术.明确术后再狭窄的高危因素将进一步改善术后结局并减少未来再干预的可能.该文对手术时年龄、PS严重程度、瓣膜形态和结构、球囊的选择等可能导致PS经PBPV术后再狭窄的高危因素作一综述.
Advances in risk factors for restenosis after percutaneous balloon pulmonary valvuloplasty for congenital pulmonary valve stenosis
Congenital pulmonary valve stenosis(PS)is a common congenital heart disease.Simple PS makes up approximately 8%~10%of congenital heart disease,and 20%of complex congenital heart disease complicated with PS.Percutaneous balloon pulmonary valvuloplasty(PBPV),which has undergone nearly 40 years of continuous improvement,has emerged as the preferred treatment for PS due to its superior safety and less trauma.However,residual stenosis was found in some patients during long-term follow-up,and repeat PBPV or even surgical repair was required.Identifying the risk factors for postoperative restenosis will further improve postoperative outcomes and reduce the probability of reintervention in the future.This article reviews the risk factors for restenosis of PS after PBPV including age,severity,morphologic characteristics of the valve leaflets and the choice of the balloon.

ChildrenCongenital heart diseasePulmonary valve stenosisPercutaneous balloon pulmonary valvuloplastyRestenosis

梁永州、武育蓉

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上海交通大学医学院附属新华医院儿童心脏中心 200092

儿童 先天性心脏病 肺动脉瓣狭窄 经皮球囊肺动脉瓣成形术 再狭窄

国家自然科学基金

82171948

2024

国际儿科学杂志
中华医学会,中国医科大学

国际儿科学杂志

CSTPCD
影响因子:1.057
ISSN:1673-4408
年,卷(期):2024.51(2)
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