先天性心脏病继发孔型房间隔缺损封堵介入彩超探讨分析(1)
[摘要] 目的 探讨彩色多普勒超声在先天性心脏病继发孔型房间隔缺损封堵治疗中的临床应用价值。方法 随机选取该院于2010年11月—2013年12月间收治的86例先天性心脏病继发孔型房间隔缺损患者，进行回顾性分析。通过彩超对患者的病情进行确诊，同时对房间隔缺损大小及形状进行确定，均采用Amplatzer法进行封堵术，术后做好抗感染治疗。并于术后1、3、6、12个月进行1次复查。结果 经过治疗，仅1例患者因继发孔型房间隔缺损较大而封堵不成功，经手术治疗后好转，其余85例患者均封堵成功，封堵成功率为98.8%。结论 在对先天性心脏病继发孔型房间隔缺损患者治疗中，进行彩超观察，能更为准确的评估病情，引导封堵治疗，对提升封堵成功率、提升患者恢复速度具有显著作用。
[关键词] 先天性心脏病；房间隔缺；封堵治疗；彩超
[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742(2014)11(c)-0077-02
, 百拇医药
[Abstract] Objective To investigate the clinical value of color Doppler ultrasound applied to the transcatheter closure for patients with congenital heart disease and secundum atrial septal defect. Methods 86 patients with congenital heart disease and secundum atrial septal defect admitted in our hospital from November 2010 to December 2013 were randomly selected for retrospective analysis. Color Doppler ultrasound was used to diagnose the disease of the patients， and determine the size and shape of atrial septal defect. Amplatzer vascular plug was used for transcatheter closure and anti-infective therapy was given to the patients postoperatively. And the patients underwent the review 1， 3， 6， 12 months after the operation. Results After treatment， only 1 patient failed to the transcatheter closure due to the secundum atrial septal defect was too large， but improved after surgical treatment， the other 85 patients underwent transcatheter closure successfully， the success rate of transcatheter closure was 98.8%. Conclusion For patients with congenital heart disease and secundum atrial septal defect， using color Doppler ultrasound for observation can more accurately assess the condition， guide the treatment of transcatheter closure， which has significant effect on enhancing the success rate of transcatheter closure and speeding the recovery of the patients.
, 百拇医药
[Key words] Congenital heart disease； Atrial septal defect； Transcatheter closure； Color Doppler ultrasound
先天性心脏病继发孔型房间隔缺损(ASD)是一种最为常见心血管疾病，该病通常在小儿时期就能查明，ASD的发病率约为1%左右，因此我国每年有10余万新生儿需要进行封堵治疗或手术治疗[1]。由于我国各地区经济发展不协调，大部分地区相对贫困，医疗技术较为落后，使得许多患者延误治疗，其缺损严重增加治疗难度。当前临床上对治疗ASD疾病有封堵治疗、手术治疗等多种方法，由于封堵风险小、并发症少、治疗效果好而受到医患的推崇。随着各种医疗水平、医疗器械的不断发展，尤其是彩超仪的分辨率越来越高，在诊断及并发症复查方面起到显著作用，封堵的疗效与安全性不断提升。该研究对该院于2010年11月—2013年12月间收治的86例ASD疾病患者均进行了封堵治疗，取得了令人满意的结果，现报道如下。
1 资料与方法
1.1 一般资料
随机选取该院收治的86例先天性心脏病继发孔型房间隔缺损患者进行介入封堵治疗并彩超观察。该组患者治疗前均经彩超确诊为ASD疾病，且均为中央型单一缺损，适合封堵治疗。该组患者中男33例，女53例；年龄范围3～77岁之间，平均年龄(24±3.3)岁。86例患者ASD直径范围在6～29 mm，其中合并肺动脉高压患者3例，合并肺野充血患者16例，胸骨左侧2～3肋间有收缩期杂音或不明杂音患者7例。, 百拇医药(王媛媛 杨芳 褚静洁)
[关键词] 先天性心脏病；房间隔缺；封堵治疗；彩超
[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742(2014)11(c)-0077-02
, 百拇医药
[Abstract] Objective To investigate the clinical value of color Doppler ultrasound applied to the transcatheter closure for patients with congenital heart disease and secundum atrial septal defect. Methods 86 patients with congenital heart disease and secundum atrial septal defect admitted in our hospital from November 2010 to December 2013 were randomly selected for retrospective analysis. Color Doppler ultrasound was used to diagnose the disease of the patients， and determine the size and shape of atrial septal defect. Amplatzer vascular plug was used for transcatheter closure and anti-infective therapy was given to the patients postoperatively. And the patients underwent the review 1， 3， 6， 12 months after the operation. Results After treatment， only 1 patient failed to the transcatheter closure due to the secundum atrial septal defect was too large， but improved after surgical treatment， the other 85 patients underwent transcatheter closure successfully， the success rate of transcatheter closure was 98.8%. Conclusion For patients with congenital heart disease and secundum atrial septal defect， using color Doppler ultrasound for observation can more accurately assess the condition， guide the treatment of transcatheter closure， which has significant effect on enhancing the success rate of transcatheter closure and speeding the recovery of the patients.
, 百拇医药
[Key words] Congenital heart disease； Atrial septal defect； Transcatheter closure； Color Doppler ultrasound
先天性心脏病继发孔型房间隔缺损(ASD)是一种最为常见心血管疾病，该病通常在小儿时期就能查明，ASD的发病率约为1%左右，因此我国每年有10余万新生儿需要进行封堵治疗或手术治疗[1]。由于我国各地区经济发展不协调，大部分地区相对贫困，医疗技术较为落后，使得许多患者延误治疗，其缺损严重增加治疗难度。当前临床上对治疗ASD疾病有封堵治疗、手术治疗等多种方法，由于封堵风险小、并发症少、治疗效果好而受到医患的推崇。随着各种医疗水平、医疗器械的不断发展，尤其是彩超仪的分辨率越来越高，在诊断及并发症复查方面起到显著作用，封堵的疗效与安全性不断提升。该研究对该院于2010年11月—2013年12月间收治的86例ASD疾病患者均进行了封堵治疗，取得了令人满意的结果，现报道如下。
1 资料与方法
1.1 一般资料
随机选取该院收治的86例先天性心脏病继发孔型房间隔缺损患者进行介入封堵治疗并彩超观察。该组患者治疗前均经彩超确诊为ASD疾病，且均为中央型单一缺损，适合封堵治疗。该组患者中男33例，女53例；年龄范围3～77岁之间，平均年龄(24±3.3)岁。86例患者ASD直径范围在6～29 mm，其中合并肺动脉高压患者3例，合并肺野充血患者16例，胸骨左侧2～3肋间有收缩期杂音或不明杂音患者7例。, 百拇医药(王媛媛 杨芳 褚静洁)
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