先心病经胸微创封堵手术体会及早期疗效分析.docVIP

先心病经胸微创封堵手术体会及早期疗效分析 　　[摘要] 目的 分析与探讨经胸微创封堵手术治疗先天性心脏病的临床资料效果。 方法 选取2014年4月～2015年2月在我院科室接受治疗的46例先天性心脏病患者，回顾性分析其临床资料。 结果 7例房间隔缺损均采用封堵手术，无一例改行体外循环，37例室间隔缺损患者中有3例因封堵术失败改行体外循环直视下室缺修补术，2例动脉导管未闭患者均顺利完成手术，术后未留置心包引流。 结论 经胸微创封堵手术具有创伤小、恢复快、安全及美观等优点，早期疗效确切，中长期效果仍在随访中 [关键词] 先心病；经胸微创封堵手术；超声评估；封堵器 [中图分类号] R726.5 [文献标识码] B [文章编号] 1673-9701（2015）34-0040-03 The experience and early results analysis of minimally invasive surgical closure of congenital heart disease WU Cheng JI Ling ZHONG Fengwen LUO Lie CAI Longren Cardiothoracic Surgery Department， Ganzhou People’s Hospital in Jiangxi Province， Ganzhou 341000， China [Abstract] Objective To analyze and discuss the clinical effect of minimally invasive surgical treatment for congenital heart disease. Methods A total of 46 patients with congenital heart disease who received treatment in our hospital from April 2014 to February 2015 were retrospectively analyzed. Results 7 cases of atrial septal defect were treated with surgical closure， were diverted to extracorporeal circulation， 37 cases of patients with ventricular septal defect in 3 patients because of the failure of occlusion therapy diverted under cardiopulmonary bypass chamber septal defect repair operation， 2 cases of patent ductus arteriosus patients were successfully completed surgery， postoperative non indwelling pericardial drainage. Conclusion Minimally invasive percutaneous closure of thoracic surgery has the advantages of small trauma， quick recovery， safety and beauty. The early curative effect is accurate， the long-term effect is still followed up. [Key words] Congenital heart disease； Transthoracic minimally invasive occlusion operation； Ultrasound evaluation； Occluder 先天性心脏病属于一种多发病，在临床较为常见，胎儿具有较高的发病率，相关医学文献报道，胎儿先天性心脏病发病率可达4%～10%。胎儿先天性心脏病属于一种先天畸形，母体内胎儿心脏发育缺陷可能是其诱发因素。如果孕妇在怀孕期间能够尽可能早地将其寻找出来，将会提供更多的时间给临床的诊治工作[1，2]。20世纪80年代中期，我国已经对先天性心脏病的介入治疗进行大力开展，其在我国已经成为一项成熟技术。而房间隔缺损、室间隔缺损和动脉导管未闭是比较常见的先天性心脏病类型，经胸微创封堵手术治疗房间隔缺损、室间隔缺损和动脉导管未闭是近年来发展起来的新技术[1]。我科自开展此项技术至今