超声心动图指导Amplatzer封堵器在房间隔缺损封堵中的价值.pdfVIP

中国超声医 杂． 2001年 第l7卷第6期 Chinese J Ukrasound Med Vo 1 ! 425 超声， 动图指导Amplatzer封堵器在房间隔缺损封堵中的价值 张军 李军 张玉顺 田雪 朱永胜 姚志勇 朱霆 刘建平 李寰 代政学 李缓 王晓燕 摘 要 目的：探讨超声心动罔指导Amptatzer封堵器在 同大小及不同性质周缘房问隔缺损封堵中的意义。 方法：53倒房间隔缺损患者在经食管和经啕超声心功罔检吝或联台球囊充盈测量房缺大小后行Amplatzer封堵器封 堵。结果：20例较硬周缘房踺在超声偷测房缺太小(16．8±8．8)mm后直接选择封堵器进行封堵．3l例缘较软、摆 动的房缺球囊先盈测量房踺伸展径 (22．4±6 9)mm后选择封堵器封堵 超声所测房缺大小与所用封堵器大小、球 囊宴测值及球囊 x线l、所测量房缺伸展径值相关良好．分别为r=0．930(Po．01)，r一0．921(尸0．001)及r 一0 876(P0．001)。剔除软缘房缺，刷仁述柑荧性更佳．分别为r=O．984(P0．oo1)， o 959(尸0．0O1)及 0 948(P0．o01)。结论：对于周缘较硬的房缺，经食管超声心动 可直接指导封堵器大小的选择和封堵。而对 房缺缘较软者． 在球囊充盈情况下测量房踺伸展径后选择封堵器 关键词 房间隔姥损 封堵 超声心动图 Value of Amplatzer Occlusion Device of Atrial Septal Defect Guided by Eehoeardiography Zhang Jun，Li Jun，Zhang Yushun，et al Xijing Hospitalt Fourth Military Medical University，Xihn 710032 China ABSTRACT Objective：To probe into the guiding meaning of echocardl。graphy for occtusion of atrial septal defect(ASD)with different size and edge by use of Amplatzer septal occtuder．Methods：Fifty three patients with ASD were occluded by uNe of Amplatzer Septa[occluder after transesophageal and transthoracic echocardiographic detection or measurement of expanding size of ASD with balloon titling—Results：Twenty cases of ASD (16．8士8．8ram)with sotid edge wPre occluded with selected Amp[atzer septal oceluder depending on echocardiographic examination．Thirty one patients with soft and flappy edge ASD(22．4-t：6．9ram)were dosed by use of the Amp[atzer septal oceluder，which sizes were decided according to ASD expanding size by ba1I㈣ Correlation between the echo size of ASD and Occ[uder s ze，teal measurement of balloon andbe[1oon sizemeasuredinX raywerefine 0．930(P0．01)，r一0．921(P 0 001)and r=O．876(尸0．001)respectively After eliminating ASD with soft and f[appy edge，the