| 郑远,林宇,林冬群,等.经右心室穿刺室间隔缺损封堵142例疗效分析[J].安徽医药,2019,23(8):1590-1592. |
| 经右心室穿刺室间隔缺损封堵142例疗效分析 |
| Minimally invasive transthoracic ventricular septal defect occlusion application 142 cases |
| 投稿时间：2018-05-03 |
| DOI： |
| 中文关键词: 室间隔缺损 心间隔封堵装置 心室 超声心动描记术,经食管 心脏外科手术 |
| 英文关键词: Heart septal defects,ventricular Septal occluder device Heart ventricles Echocardiography,transesophageal Cardiac surgical procedures |
| 基金项目: |
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| 中文摘要: |
| 目的 分析总结经胸小切口右心室穿刺室间隔缺损(VSD)封堵术的临床疗效。方法 回顾分析广东省中医院大学城医院2013年7月至2017年9月经胸小切口右心室穿刺封堵术治疗VSD病人142例。术中行经食管超声心动图评估VSD是否适合封堵治疗,确定封堵器型号,超声定位经右心室穿刺置入封堵器,评判封堵效果,出院后对病人进行随访。结果 142例VSD病人均成功封堵,成功率100%。1例术后3 d发现封堵器移位导致残余分流二次手术行体外循环下VSD修补术。1例术后5 d发现残余分流较大二次手术行体外循环下VSD修补术。142例病人均顺利出院。随访1~51个月,138例无残余分流,余4例有2 mm残余分流,142例心电图均无房室传导阻滞,心功能均良好。结论 超声心动图引导下经胸小切口右心室穿刺VSD封堵术不需要体外循环辅助,手术创伤小,安全性高,近期疗效好,远期疗效待进一步观察。 |
| 英文摘要: |
| Objective To evaluate the feasibility of minimally invasive transthoracic ventricular septal defect occlusion application.Methods From July 2013 to September 2017 in Guangdong Provincail Hospital of Chinese Medcine,142 patients with ventricular septal defect were enrolled in this study.Transesophageal echocardiography were performed to choose an appropriate occluder device according to location,type and size of the ventricular septal defect,and to guide the occuluder device,analyse the clinical effect after the surgery.Results All the 142 patients with VSD were successfully occluded.The success rate was 100%,but 2 patients underwent re-operation because of residual shunt.A follow-up between 1 to 51 months show that there was no residual shunt in 138 patients,and no atrioventricular block in all patients.Conclusion Minimally invasive transthoracic ventricular device closure of ventricular septal defect is safe and feasible. |
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