摘要
目的：评价超声心动图导引介入治疗小儿房间隔缺损（ASD）的临床价值。方法：继发孔型ASD 215例，其中单一ASD 213例，多发性ASD 2例。男93例，女122例，年龄2～15岁，平均10.2岁。体重11～87kg，平均35.8kg。其中9例合并肺动脉瓣狭窄，合并室上速、室速，室间隔缺损及动脉导管未闭，房室传导阻滞Ⅲ°，二尖瓣脱垂合并轻度关闭不全各1例。215例患者术前均作体表经胸超声心动图（TTE），术中用TTE或食管超声（TEE）监测导引介入治疗全过程。术后用TTE随诊。结果：215例患者应用进口及国产闭合器成功闭合缺损，成功率100%。经TTE测量ASD直径5～32mm（平均17.14mm），TEE测量直径7～32mm（平均18.45mm），闭合器型号8～40mm（平均21.88mm）。215例患儿术后TTE随诊无并发症，无残余分流。结论：超声导引下介入治疗小儿ASD是安全可靠的。
Abstract
Objective: To evaluate the clinical efficancy of transcatheter closure of atrial septal defect(ASD) with occlusion device in pediatric patients. Methods: 215 patients with ASD, 93 males, 122 females, at a mean age of 10.2 years(ranged from 2 to 15 years) and with a mean weight of 35.8kg(ranged from 11 to 87kg) were studied. Nine cases were complicated with pulmonary stenosis, one was complicated in each of the following defects superiorventricular tachycardia; ventricular tachycardia; ventricular septal defect; patent ductus arteriosus; Ⅲ° AVB, mitral valve prolapse and mitral regurgitaion. The diameter of ASD was measured by TTE and/or TEE, ascertaining the location and size of ASD. Occlusive device was sized to be equal to or 1～2mm more than the diameter of balloon streched. Results: All patients had successful implantation of the device. The success rate was 100%. The diameter measured by TTE was 5～32mm(mean 17.14mm). The diameter measured by TEE was 7～32mm(mean 18.45mm). Neither complication nor residual shunt was found in any of the patients. Conclusion: Occlusive device is safe and efficient in pediatric patients with ASD guided by echo sonography.
关键词
房间隔缺损 /
超声心动描记术
Key words
heart septal defects /
atrial /
echocardiography
邓东安;侯传举;朱鲜阳;韩秀敏.
超声导引下小儿房间隔缺损介入治疗215例临床报告[J]. 中国临床医学影像杂志. 2007, 18(12): 882-883
DENG Dong-an;HOU Chuan-ju;ZHU Xian-yang;HAN Xiu-min.
Transcatheter closure of atrial septal defects in 215 pediatric patients[J]. Journal of China Clinic Medical Imaging. 2007, 18(12): 882-883
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