摘要
目的探讨经胸超声心动图（TTE）评价封堵继发孔型房间隔缺损（ASD）的可行性。方法41例确诊的ASD患者，术前行经胸超声心动图（TTE）检查，测量缺损大小、形态、位置及周边结构，所有病例均采用Amplatzer封堵器封堵，并于术中监测。结果39例封堵成功，经胸测量ASD最大径38mm，最小径4mm，选用封堵器大小10～38mm，二者呈直线相关，2例失败。对ASD边缘纤细、摆动幅度较大者，可作为无效边缘加以排除，所得缺损孔大小更符合封堵器大小。结论经胸超声心动图可对拟行封堵治疗的继发孔型（Ⅱ孔）房间隔缺损患者术前筛选，并可指导封堵，有推广价值。
Objective To investigate the feasibility of the transthoracic echocardiography（TTE） evaluation of the secondary atrial septal defect（ASD） occlusion. Methods Forty-one patients diagnosed with ASD received preoperative TTE examination to measure the size, shape, location and surrounding structure; All the patients received the Amplatzer occluder occlusion and the intraoperative monitoring was implemented. Results Thirty-nine patients received successful occlusion, whose maxium ASD diameter was 38 mm and minimum ASD diameter was 4 ram, and the used oceluder size ranged from 10 to 38 ram, with linear correlation between them. Two patients failed. The ASD with slim edge and large swing amplitude could serve as the ineffective edge and be exiuded, through which the obtained defect size was more in line with the occluder. Conclusion The transthoracic echocardiography can serve as the preoperative screening for the patients with secondary defect hole（hole Ⅱ） planning on receiving the occlusion treatment and as the occlusion guidance, thereby worthy of promotion.
出处
《中国医药科学》
2013年第17期148-149,共2页
China Medicine And Pharmacy
关键词
经胸超声心动图（TTE）
房间隔缺损
介入
封堵
治疗
Transthoracic echocardiography（TTE）
Atrial septal defect
Intervention
Occlusion
Treatment
