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|本期目录/Table of Contents|

介入封堵在治疗室间隔缺损修补术后残余漏上的疗效

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2013年第1期
页码:
57-059
栏目:
临床研究
出版日期:
2013-02-25

文章信息/Info

Title:
Effects of interventional procedures on congenital ventricular septal defect residual shunt
作者:
张云涛1; 郭立新1; 金敬琳2
(1.邢台市第三医院、邢台市心血管病医院心外科，河北 邢台 054000；2.阜外心血管病医院放射介入科，北京 100037)
Author(s):
ZHANG Yuntao1;  GUO Lixin1;  JIN Jinglin2
(1.Department of Cardiovascular surgery, Third Hospital of Xingtai, Xingtai Cardiovascular Disease Hospital, Xingtai 054000, Hebei, China; 2.Department of Radiology, Fuwai Hospital, CAMS and PUMC, Beijing 100037, China)
关键词:
心间隔缺损; 心室; 外科手术; 介入治疗; 残余漏
Keywords:
heart septal defects;  ventricular;  residual shunt;  surgical intervention
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的:探讨介入封堵治疗室间隔缺损（VSD）修补术后残余漏的方法与疗效。方法： 全组18例，年龄3～46（14±11）岁。残余漏大小3～8（42±15） mm。通过建立轨道法，封堵VSD术后残余漏，封堵15 min后行左心室造影，术后1 d及3个月行超声心动图检查，观察封堵效果。结果： 全组18例VSD修补术后残余漏患者，除1例因残余漏直径过大,1例因建立轨道困难，封堵未成功外，余均治愈。结论： 介入治疗VSD修补术后残余漏疗效满意、可靠。
Abstract:
AIM:To assess the effect of interventional procedure on residual shunt after surgical repair of ventricular septal defect. METHODS: Eighteen patients (aged 3-46 years, mean age 135±110 years) were included in the study. Diameter of the residual shunt was 3-8 mm ［mean (421±148) mm］. Residual shunts were closed by building orbit. Contrast examinations of the left ventricle were performed to evaluate the immediate results 15 min after the closure and echocardiography was performed 1 day and 3 months after the closure to decide whether there was residual. RESULT: Except for two cases (one case with too large of a diameter of residual shunt and one case with difficulty of building orbit), the interventional procedure was successful in the other 16 cases. CONCLUSIONS: Transcatheter closure of postoperative septal residual is safe and effective.

参考文献/References

[1]王志远，金 梅.Amplatzer与国产封堵器经皮介入治疗室间隔缺损的临床应用现状[J].心肺血管病杂志,2010,29(1):77-79.

[2]赵 军,陈关良,李秋香,等.小儿先天性室间隔缺损介入治疗中受照剂量的评价[J].介入放射学杂志,2010,19(7):518-520.

[3]高波涛,郑景浩,陈会文,等.婴幼儿室间隔缺损修补术后残余分流的自发愈合[J].中国胸心血管外科临床杂志,2011,18(6):507-509.

[4]丁仲如，秦永文.先天性心脏病外科术后残余漏的诊疗探讨[J].心血管病学进展,2008,29(3):363-365.

[5]杜亚娟,张玉顺,成革胜,等.三尖瓣腱索附着异常的膜周部室间隔缺损介入治疗初步探讨[J].中国循环杂志,2010,26(2):133-136.

[6]秦永文,赵仙先,吴 弘,等.应用国产封堵器闭合室间隔缺损修补术后残余漏[J].介入放射学杂志, 2007, 16(8):516-519.

[7]孙书红,马兰香,张 华,等.经导管介入治疗室间隔缺损修补术后残余漏[J].心脏杂志,2008,20(2):248.

[8]赵鹏军，伟，余志庆，等.第二代动脉导管未闭封堵器封堵特殊类型室间隔缺损2例报告[J].中国实用儿科杂志,2012,27(2):109-111.

备注/Memo

备注/Memo:
收稿日期：2012-06-19.通讯作者：郭立新，主任医师，主要从事心血管外科治疗研究Email:XTGLX@tom.com 作者简介：张云涛，主治医师，博士Email:zhangyuntao2010@yeah.net
更新日期/Last Update: 2013-03-20