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|本期目录/Table of Contents|

房间隔缺损3种治疗方法的比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第6期
页码:
552-554
栏目:
介入治疗
出版日期:
2003-11-01

文章信息/Info

Title:
Evaluation of three therapeutic methods for atrial septal defect
作者:
程云阁1; 俞世强1; 张玉顺2; 代政学2; 段大为1
第四军医大学西京医院: 1.心血管外科中心, 2.心脏内科, 陕西 西安 710032
Author(s):
CHENG Yun-ge1;  YU Shi-qiang1;  ZHANG Yu-sun2;  DAI Zheng-xue2;  DUAN Da-wei1
1.Department of Cardiovascular Surgery, 2.Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi’an, Shaanxi 710032, China
关键词:
房间隔缺损; 介入治疗; 微创; 心脏手术
Keywords:
atrial septal defect;  transcatheter closure;  minimally invasive cardiac surgery
分类号:
R654.2
DOI:
-
文献标识码:
A
摘要:
目的:评价房间隔缺损(ASD)的3种治疗方法。方法: 导管介入封堵器封堵ASD 170例; 右侧胸壁打孔电视胸腔镜下ASD修补术64例; 常规开胸ASD修补术12 例。比较其ASD大小, 成功率及术后住院时间。结果: 全组无死亡。ASD 大小: 导管介入组0.4～3.8 (2.6±0.8)cm, 胸腔镜组: 2.2～4.8 (3.8±1.2)cm, 常规开胸组:3.1～4.9(3.9±1.5)cm, 组间差别显著; 成功率依次为: 98%, 95%, 100%, 组间无显著差别; 术后住院时间依次为3～5 (3.1±0.3) d, 4～7 (5.2±0.5)d, 7～11 (7.6±0.6) d, 组间差别显著。结论: 在严格掌握ASD 的3种治疗方法适应证的前提下, 导管介入封堵法术后住院时间最短, 右侧胸壁打孔电视胸腔镜法次之, 常规开胸法最长, 其成功率无显著差别。
Abstract:
AIM: To evaluate three therapeutic methods of atrial septal defect (ASD). METHODS: Transcatheter closure, video-assisted cardiac surgeries and routine bittern chest operations were performed in 170, 64 and 12 patients respectively. Diameter of ASD, success rate and postoperative hospitalized time were compared between three groups. RESULTS: No patients died during the study. The diameters of ASD in transcatheter closure group 0.4～3.8 (2.6±0.8)cm were significantly less than those of video-assisted cardiac surgery group 2.2～4.8 (3.8±1.2)cm and routine bittern chest operation group 3.1～4.9 (3.9±1.5) cm. The success rate of the three groups were simillar (98% vs 95% and 100%). Postoperative hospitalized time was significantly less in transcatheter closure group 3～5(3.1±0.3)d than in video-assisted cardiac surgery group 4～7 (5.2±0.5)d and routine bittern chest operation group 7～11 (7.6±0.6)d. CONCLUSION: Transcatheter closure for ASD proves to be as successful as video-assisted cardiac surgeries and routine bittern chest operations. In terms of hospital stay, transcather closure is better than the other two therapies.

参考文献/References

[1] 张玉顺, 代政学, 赵志敬, 等. 应用Amplatzer封堵器治疗房间隔缺损 [J] . 心脏杂志, 2001, 13(5):379-381.

[2] Massetti M, Babatasi G, Rossi A, et al. Operation for atrial septal defect through a right antero lateral thoracotomy: current outcome [J] . Ann Thorac Surg, 1996, 62:1100-1103.

[3] Thanopoulos BD, Laskari CV, Tsaousis GS, et al. Closure of atrial septal defects with Amplatzer occlusion device: priminary results[J]. J Am Coll Cardiol, 1998, 31:1110-1116.

[4] Benetti F, Mariani MA, Sani G, et al. Video-assisted minimally invasive coronary operations without cardiopulmonary bypass: a multicenter study [J] . J Thorac Cardiovasc Surg, 1996, 112:1478-1484.

[5] Chang CH, Lin PJ, Chu JJ, et al. Video-assisted cardiac surgery in closure of atrial septal defect [J] . Ann Thorac Surg, 1996, 62(3):697- 701.

备注/Memo

备注/Memo:
收稿日期：2002-09-03.
更新日期/Last Update: 2003-11-01