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经皮腔内球囊肺动脉瓣成形术(PBPV)已成为治疗肺动脉瓣狭窄(PS)的首选治疗方法。它不仅能取代外科手术单独地用于解除Milo-Ⅰ型和轻症Milo-Ⅱ型PS,而且能结合外科手术对多发/复杂的心脏畸形进行术前姑息、术中协同和术后补救治疗。现对PS的解剖分型、超声心动图在PBPV中的应用、PBPV的适应证、禁忌证、手术方法和疗效等进行综述。
Percutaneous balloon pulmonary valvuloplasty (PBPV) has become the preferred treatment for pulmonary valve stenosis (PS). It can not only be used as a surrogate surgeon to relieve Milo-I and Mild Milo-II PS alone, but also can be used in combination with surgery to preoperative palliative and intraoperative synergistic and post-operative salvage of multiple / complicated heart deformities. Now the anatomical classification of PS, echocardiography in the application of PBPV, PBPV indications, contraindications, surgical methods and efficacy are reviewed.