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|本期目录/Table of Contents|

成人房间隔缺损封堵术后左心大小和功能的变化(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2002年第4期
页码:
334-336
栏目:
先心病介入治疗
出版日期:
2002-07-01

文章信息/Info

Title:
Changes in the left cardiac size and function after transcatheter closure of adult atrial septal defect and during the follow-up
作者:
吴栋梁1;  张玉顺1;  张 军2; 姚志勇2; 代政学1; 李 寰1
第四军医大学西京医院: 1.心血管内科, 2.超声科,陕西西安710032
Author(s):
WU Dong-liang; ZHANG Yu-shun; ZHANG Jun; YAO Zhi-yong; DAI Zheng-xue; LI Huan
Cardiology Department of Xijing Hospital, Fourth Military Medical University, Xi' an, Shaanxi 710032, China
关键词:
房间隔缺损; 介入治疗; 超声心动描记术
Keywords:
atrial septal defects;  transcatheter closure;  echocardiography
分类号:
R541
DOI:
-
文献标识码:
A
摘要:
目的 评价成人继发孔房间隔缺损(ASD)封堵术后左心大小及功能的变化。方法 全组患者30例,年龄15~56(29±14)岁。均于术前、术后48 h、术后3月行超声心动图检查。结果 ASD封堵术后48 h,左心室大小和左室功能与术前无明显差异。与术前、术后48 h比较,术后3月左心室前后径和横径显著增加(P<0.01);左室每搏量,左室射血分数,左室短轴缩短率亦明显增加(P<0.01或P<0.05)。但左心室舒张期末最大长径和左房长、横径均无显著变化(P>0.05)。结论 Amplatzer封堵器ASD封堵术后48 h患者左心室已开始增大,左心功能有所增增加,但差异未达到显著水平。术后3月左心室明显增大,左室功能显著改善。
Abstract:
AIM To evaluate the changes in the left cardiac size and cardiac function after transcatheter closure of adult secundum atrial septal defect (ASD) and during the follow-up. METHODS 30 adult patients aged from 15 to 56 years (29±14 years) with secundum ASD underwent echocardiographic examination before and 48 h after transcatheter closure and during 3 mo follow-up.RESULTS No significant difference was found between the left cardiac size and function 48 h after transcatheter closure of ASD and those before the operation. The anteroposterior diameter and transverse diameter of left ventricule increased significantly (P<0.01) during 3 mo follow-up compared with those before and 48 h after transcatheter closure of ASD,left ventricular stroke volume, left ventricular ejection fraction and shortening fraction also increased significantly (P<0.01 orP<0.05), but left ventricular end-diastolic maximum longitudinal diameter and the inner diameter of left end-systolic atrium did not increase significantly(P>0.05). CONCLUSION The left cardiac size and function did not increase significantly 48 h after the transcatheter closure of ASD, but increased significantly 3 mo after the transcatheter closure.

参考文献/References

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[2] Berger F, Ewert P, Abdul-khaliq H,et al. Percutaneous closure of large atrial septal defects with the Amplatzer septal occluder: Technical overkill or recommendable treatment? [J].J Interven Cardiol,2001,14(1):63-67.

[ 3 ] Hijazi ZM, Cao Q, Patel HT,et al. Transesophageal echocardiogrophic results of catheter closure of atrial septal defect in children and adults using the Amplatzer device[J].Am J Cardiol, 2000,85:1387-1390.

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[7]侯传举,邓东安,曾慧茹,等.成人继发孔房间隔缺损手术前后左心室容积和收缩功能对比研究[J].中华胸心血管外科杂志,2000,16(3):185.

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备注/Memo

备注/Memo:
收稿日期：2001-11-23.
更新日期/Last Update: 2002-07-01