经胸超声心动图引下经皮房间隔缺损封堵术35例临床分析.docVIP

经胸超声心动图引导下经皮房间隔缺损封堵术35例临床分析 　　【摘要】 目的：探讨经胸超声心动图引导下经皮房间隔缺损封堵术在临床的应用价值。方法：入选从2014年9月-2016年4月在笔者所在医院收治的单纯房间隔缺损患者35例，在经胸超声心动图全程引导下，在局麻下经股静脉穿刺行房间隔缺损封堵术，实时评估封堵效果。术后3 d及术后3、6、12个月复查心脏彩超。结果：35例均封堵成功，均未出现瓣膜损伤、封堵器脱落、心包积液等并发症，2例在3 d后复查出现少量残余分流，约1 mm，3个月后复查无残余分流，其余患者均无残余分流。结论：经胸超声引导下经皮房缺封堵术，操作简单、手术时间短、创伤小、安全、恢复快，在临床有广泛应用价值及前景。 中国论文网 /6/viewhtm　　【关键词】 房间隔缺损； 超声心动图； 经皮封堵 　　doi：10.14033/ki.cfmr.2017.26.010 文献标识码 B 文章编号 1674-6805（2017）26-0020-02 　　Clinical Analysis of Percutaneous Closure Atrial Septal Defects Guided by Thoracic Echocardiography for 35 Cases/LI Chun-ping，HAN Tao.//Chinese and Foreign Medical Research，2017，15（26）：20-21 　　【Abstract】 Objective：To explore the 7clinical application prospect of percutaneous closure atrial septal defects guided by thoracic echocardiography.Method：From September 2014 to April 2016，35 inpatients who were pure atrial septal defects were selected，under local anesthesia via femoral vein puncture closure atrial septal defects guided by thoracic echocardiography，real-time evaluatie plugging result.The patients underwent follow-up echocardiography at 3 days，3 months，6 months，12 months after surgery.Result：Occluder were successfully implanted in 35 patients，there were no serious complications such as valvular injury，pericardial effusion，occluder off，two patients had a little residual shunt in 3 days after surgery，residual shunt disapper after 3 months underwent follow-up echocardiography，the rest of the patients didn’t appear residual shunt.Conclusion：Percutaneous closure atrial septal defects guided by thoracic echocardiography has superiority such as simplicity of operator，shorter operator time，less-injury，safety，fast recovery，the surgery has a broad clinic prospects. 　　【Key words】 Atrial septal defect； Thoracic echocardiography； Percutaneous closure 　　First-author’s address：Fujian Province Hospital，Fuzhou 350001，China 　　房?g隔缺损（ASD）（继发孔型）即房间隔发育不良造成左右心房之间异常交通的一种先天性心脏畸形。继发孔型ASD是最为简单的一种心内畸形，在所有先天性心脏病中其发病率为10%～20%。女性多于男性，比例为2∶1[1]。目前主要治疗方