J4 ›› 2015, Vol. 14 ›› Issue (2): 54-56.

• 临床医学 • 上一篇    下一篇

超声心动图在房间隔缺损封堵术中的应用分析

  

  1. 大理学院附属医院,云南大理 671000
  • 收稿日期:2014-06-09 出版日期:2015-02-15 发布日期:2015-02-15
  • 作者简介:安琼辉,硕士研究生,主要从事心血管超声与介入研究.

Analysis of the Application of Echocardiography in Closure of Atrial Septal Defects

  1. Affiliated Hospital of Dali University, Dali, Yunnan 671000, China
  • Received:2014-06-09 Online:2015-02-15 Published:2015-02-15

摘要:

目的:探讨超声心动图在房间隔缺损封堵术中的价值。方法:对40例房间隔缺损患者进行封堵术前、术中缺损口直径、
分流情况、术后跟踪其有无残余分流、心脏大小及肺动脉压改善情况进行分析。结果:40例患者一次性封堵成功,成功率
100%,经过术后6个月的跟踪监测,均无残余分流,封堵效果显著,仅1例术前漏诊动脉导管未闭,另1例42岁女性患者术后6
月复查右心仍较大,肺动脉压仍属于中度肺动脉高压。结论:超声心动图在房间隔缺损封堵治疗中能准确评估缺损口大小、指
导封堵器的选择、实时引导封堵器准确植入、评估患者术后恢复情况,是房间隔缺损封堵术必不可少的监测手段。

关键词: 超声心动图, 房间隔缺损, 封堵术

Abstract:

Objective: To study the value of echocardiography in closure of atrial septal defects. Methods: Analysis was made on preoperative and intraoperative diameter of defects, shunt, postoperative residual shunt, the size of the heart and pulmonary arterial pressure in 40 cases treated by closure of atrial septal defects. Results: Closure was successfully achieved only once in all 40 cases,with the 100% success rate. After 6-month postoperative follow-up monitoring, no residual shunt was observed and the effect was apparent. Patent ductus arteriosus was found only in 1 case because of missed diagnosis, and the right heart of another woman case of 42 years old was observed still big and moderate pulmonary hypertension was also observed when reexamined in 6 months' time.
Conclusion: Echocardiography in the treatment of atrial septal defects could accurately assess the defect size, provide reference for the choice of occluders, guide the embedding of the occluder in real time and evaluate the recovery of the patients, and it was an
indispensable monitoring way of closure of atrial septal defects.

Key words: echocardiography, atrial septal defects, closure

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