ABSTRACT
Objective To systematically evaluate the effect of percutaneous balloon pulmonic valvuloplasty (PBPV) and the surgery in pulmonary stenosis(PS),so that suitable treatment would be selected partly based on this study.Methods PubMed,OVID,Medline,Chinese Biomedicine database,VIP Database for Chinese Technical Periodicals,digital journal of Wanfang Data and China National Knowledge Internet were searched to locate relevant controlled trials.Data extraction and assessment of methodologic quality were performed independently by 2 reviewers.Meta analysis was performed by Revman 5.0 software.Results Five papers(including 547 patients) were identified.The age,weight and preoperative pressure gradient were similar in 2 groups.The success rate in PBPV group was similar to surgical group (96.2％ vs 100％,P =0.46).The survival rate in 2 groups were all 100％.The pulmonic regurgitation rate in PBPV group was lower than that in surgical group(34.9％ vs 70.5％,P =0.001).The postoperative pressure gradient in PBPV group were higher than that in surgical group(P =0.003).Complication rate in PBPV group was lower than that surgical group (6.83％ vs 26.50％,P ＜ 0.000 01).Conclusions The PBPV is safe and effective,but it is selective and the success rate needs to be increase.If the patient with pulmonary stenosis is suitable,PBPV will be the first choice.