摘要
目的:探讨经胸超声心动图在介入封堵治疗房间隔缺损术中的应用。方法:继发孔型房间隔缺损患者48例,使用经胸壁超声心动图进行患者筛选、多切面测量缺损大小、形态,选择封堵器型号,监测引导介入治疗过程。其中8例合并轻至中度肺动脉高压。结果:使用国产或AGA-Amplatzer闭合器,39例患者一次成功,一次成功率为81%。术后无并发症,肺动脉高压患者血流动力学指标得到改善。结论:在房间隔缺损封堵术中经胸超声心动图起着重要的作用,对合并动力性肺动脉高压患者疗效满意。
Objective：To discuss the clinic value of interventional treatment of ASD under the guidance of transthoracic echocardiography （TTE）. Methods ：TTE was used in forty- eight patients with secundum ASD for screening patients, measurement the size and form from multiple cut, selection the oceluder size, monitoring and guidance during the whole operation. 8 patients were with pulmonary hypertension. Results： All ASDs were successfully occluded using occlusion device. 39 patients were succeed for one time. The parameter of hemodynamies of PH patients were improved and no complications occurred. Conclusions：TTE guidance is necessary for secundum ASD patients during the oecluding operation. The effect is satisfied for ASD patients without resistance PH.
出处
《中国民康医学》
2006年第3期85-87,共3页
Medical Journal of Chinese People’s Health
关键词
经胸超声心动图
房间隔缺损
介入治疗
封堵器
Echocardiography, transthoracic
Atrial septal defect
Interventional treatment
Occlusion device
