超声心动图指导Amplatzer封堵器封堵动脉导管未闭、房间隔缺损及室间隔缺损侧重点研究.pdfVIP

中国超声医学杂志2003年 第1 9卷第 6期 Chinese J Ultrasound Med Vol 1 9 No 6 2003 - -- — — 431—— 超声心动图指导Amplatzer封堵器封堵动脉导管未闭、 房间隔缺损及室间隔缺损侧重点研究 李国杰 闻恽 周永昌 朱向明 张平洋 李劲 张晓英 赵志宏 摘 要 目的：研究超声心动图指导Amplatzer封堵器封堵动脉导管未闭(PDA)、房间隔缺损(ASD)及 室间隔缺损 (VSD)中的侧重点及其临床价值，以提高先心封堵成功率。方法：6例PDA、8例ASD及2例VSD 待外科手术患者。经胸或／和经食道超声心动图符合条件而行经导管以Amplatzer封堵器封堵。结果：Amplatzer封 堵器除1例患者因双孔ASD，最大伸展径较大而放弃封堵外，6例PDA、7例ASD及2例VSD在超声指导下以 Amplatzer封堵器封堵成功，均无残余分流，总的成功率为93．75 (15／16)。结论：超声心动图对于用Amplatzer 封堵器封堵PDA、ASD及VSD术前病例选择，术中指导监测，封堵器型号的选择与术后疗效评价等均有较大的 价值。 关键词 Amplatzer封堵器 动脉导管未闭 房间隔缺损 室间隔缺损 心．脏导管插入术 超声心动图 Color Doppler EchOcardiOgraphic Emphatic Study and Its Clinical Value for Detecting Transcatheter Closure of PDA，ASD and VSD Using Amplatzer Occlusion Device Li Guojie，Wen Yun，Zhou Yongchang，et al Yijishan Hospital，Wannan Medical College，Wuhu 241 001 China ABSTRACT Objective：To study emphatically on clinical value of detecting transcatheter closure in patent ductus arteriosus(PDA)，atrial septal defect(ASD)and ventricular septal defect(VSD)using Amplatzer occlusion device by color Doppler echocardiography and to increase successful occlution rate for the congenital heart disease．Methods：Eight patients with ASD，6 cases PDA and 2 cases VSD waiting for surgical treatments were examined by color Doppler echocardiography for transcatheter closures in advance．Results：Apart from one patient with ASD who had double defects and whose marginal distance of the defect was larger than 5mm for the Amplatzer occlusion device，fifteen patients(6 cases with PDA。7 ASD．2 VSD)were successfully treated with Amplatzer occlusion devices without residual shunt in follow—up．Meantime，all patient had complete closure after 3～ 6 months．No obstruction of the desce