CAJ | 학술논문

目的探讨应用国产动脉导管未闭(PDA)封堵器关闭呈管型的膜部室间隔缺损(VSD)的临床效果及安全性.方法我院膜部VSD患者20例,经心脏彩超及造影证实为管型膜部VSD,采用国产PDA封堵器进行关闭.在X线影像及彩超的监测下建立动静脉轨道,经静脉系统释放封堵器,术后1、6、12个月进行心脏彩超及心电图检查.观察VSD有无残余分流,有无主动脉瓣、三尖瓣反流,有无房室及/或束支传导阻滞.结果 20例VSD病例全部封堵成功,无主动脉瓣及三尖瓣反流,无房室及束支传导阻滞发生,无封堵器脱落及移位,无右室流出道狭窄.1、6、12个月心脏彩超提示封堵器位置正常,无瓣膜反流,心电图正常.结论应用国产PDA封堵器关闭呈管型的膜部VSD安全、可靠.
목적 탐토응용국산동맥도관미폐(PDA)봉도기관폐정관형적막부실간격결손(VSD)적림상효과급안전성.방법 아원막부VSD환자20례,경심장채초급조영증실위관형막부VSD,채용국산PDA봉도기진행관폐.재X선영상급채초적감측하건립동정맥궤도,경정맥계통석방봉도기,술후1、6、12개월진행심장채초급심전도검사.관찰VSD유무잔여분류,유무주동맥판、삼첨판반류,유무방실급/혹속지전도조체.결과 20례VSD병례전부봉도성공,무주동맥판급삼첨판반류,무방실급속지전도조체발생,무봉도기탈락급이위,무우실류출도협착.1、6、12개월심장채초제시봉도기위치정상,무판막반류,심전도정상.결론 응용국산PDA봉도기관폐정관형적막부VSD안전、가고.
Objective To study the clinical effect and safety of domestic-made patent ductus arteriosus occluder closing tubular membrane ventricular septal defect(VSD).Methods Twenty cases of membrane ventricular septal defect in our hospital, identified as tubular membrane VSD by echography and angiography, were closed by domestic-made PDA occluder. Arterial-venous trail was established with X-ray and echogragpy guiding, and occluders were released from venous system, and echography and eletrocardiogram were performed to observed if there were flow through VSD, aortic regurgitation, tricuspid regurgitatuion, atrio-ventricular block or bundle block or not after operation for 1, 6,12 month.Results All the 20 cases' operation were successful, and there were no aortic regurgitation or tricuspid regurgitation, no atrio-ventricular or bundle block, no occluder dropping or displacement, no stenosis of right ventricular outflow.The occluders' positions were normal. There were no regurgitations, and electrocardiograms were normal after operation for 1,6,12 month. Conclusion It is safe and effective to close tubular membrane VSD with domestic-made PDA occluder.