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|本期目录/Table of Contents|

应用Amplatzer封堵器治疗儿童动脉导管未闭封堵术前后左心功能的变化(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第3期
页码:
209-210
栏目:
先心病介入治疗
出版日期:
2001-05-01

文章信息/Info

Title:
Comparative study on the left ventricular function before and after catheter closure of children PDA using the Amplatzer Device
作者:
代政学; 张玉顺; 赵志敬; 贾国良; 刘建平; 李 寰
第四军医大学西京医院心内科, 陕西西安 710032
Author(s):
DAI Zheng-xue;  ZHANG Yu-shun;  ZHAO Zhi-jing;  JIA Guo-liang;  LIU Jian-ping;  LI Huan
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi' an Shaanxi 710032, China
关键词:
动脉导管未闭; 左室功能; 超声心动描记术; 介入治疗
Keywords:
Patent ductus arterious;  echocardiography;  interventional therapy;  left ventricular function
分类号:
R654.2
DOI:
-
文献标识码:
A
摘要:
目的 应用超声心动图评价Amplatzer封堵器治疗儿童动脉导管未闭(PDA)患者封堵前后左心功能的变化。方法应用超声心动图测量PDA封堵前后左室舒张末期内径(EDD)和收缩末期内径。应用椭圆体体积法计算出左室舒张末期容积(EDV)、收缩末期容积(ESV)、每搏搏出量(SV)、射血分数(EF)和短轴缩短率(FS),将封堵前后测量数据分别用统计学配对t检验。结果 封堵后EDD,EDV,ESV,SV恢复至正常,封堵前后差别有统计学意义(P<0.05),EF和FS变化不大。结论:应用Amplatzer封堵器治疗儿童PDA是一种有效的方法,能缩短EDD和改善PDA患者的左心功能。
Abstract:
AIM To compare the different change of left ventricular function before and after catheter closure of children patent ductus arteriosus(PDA) using the Amplatzer device.METHODS The inner diameter of the left ventricular on enddiastole(EDD) and end-systole(ESD) before and after catheter closure was measured by the lateral descending Aortography by in 48 children cases of PDA. Left ventricular enddiastolic volume (EDV), end-systolic volume(ESV), stroke volume(SV), ejection fraction(EF) and fraction shortening(FS) were calculated by prolate ellipse formula automatically. Then the figures were statistically disposed by t-test.RESULTS The results show that EDV, ESV, SV after catheter closure decreased to normal in comparison with those before catheter closure, with significant difference (P<0.05), there were no significant difference in EF and FS after catheter closure.CONCLUSION: Catheter closure of children PDA using the Amplatzer device is an effective treatment and can improve left ventricular function greatly.

参考文献/References

[1] Hopkins WE, Waggoner AD. Right and left ventricular area and function determined by two-dimensional echocardiology in adults with the eisemerger syndrome from a variety of congentital anomalies[J].Am J Cardiol, 1993,72(1):90.

[2] Masure J, Walsh KP, Thanopoulous B,et al. Catheter closure of moderate-to-large-sized patent ductus arteriosus using the new Amplatzer duct occluder: immediate and short-term results [J].J Am Coll Cardiol, 1998,31:878-882.

[3]张玉顺,贾国良,何 争,等.应用Amplatzer封堵器治疗动脉导管未闭疗效评价[J].中国介入心脏病杂志,2000,8(2):78-80.

[4]张玉顺,何 争,刘建平,等. Amplatzer封堵器经导管治疗动脉导管未闭20例[J].第四军医大学学报,2000,21(5):649-650.

[5]张玉顺,贾国良,何 争,等.应用COOK可控弹簧栓子封堵动脉导管未闭[J].心脏杂志,2000,12(5):382-384.

备注/Memo

备注/Memo:
收稿日期：2001-02-10.
更新日期/Last Update: 2001-05-01