CAJ | 학술논문

目的：探讨经胸非体外循环房间隔缺损微创封堵术治疗房间隔缺损的疗效。方法全组109例患者年龄3~63岁 ASD直径6~36 mm均在全麻下经右胸第4肋间隙小切口进胸在经食管心脏彩超引导下经输送器置入封堵器闭合ASD。结果106例手术成功封堵，手术时间（1.5±0.3）h，术中失血量平均(41.5±10.3)mL 3例患者因封堵术中封堵失败改为体外循环下修补，全组无死亡，术后3~9 d恢复后出院，随诊3~36个月B超示封堵伞没有残余漏，没有移位，心功能改善显著。结论经胸微创房间隔缺损封堵手术简单、创伤小、安全性高、患者恢复快、疗效满意。
목적：탐토경흉비체외순배방간격결손미창봉도술치료방간격결손적료효。방법전조109례환자년령3~63세 ASD직경6~36 mm균재전마하경우흉제4륵간극소절구진흉재경식관심장채초인도하경수송기치입봉도기폐합ASD。결과106례수술성공봉도，수술시간（1.5±0.3）h，술중실혈량평균(41.5±10.3)mL 3례환자인봉도술중봉도실패개위체외순배하수보，전조무사망，술후3~9 d회복후출원，수진3~36개월B초시봉도산몰유잔여루，몰유이위，심공능개선현저。결론경흉미창방간격결손봉도수술간단、창상소、안전성고、환자회복쾌、료효만의。
Objective:To discuss the ef ect of mini-invasive surgery to close secundum atrial septal defects(ASD) with special occluder device. Methods:Total y 109 cases with ASD were treated by occlusion via a smal incision (6-36cm)at the right anterior chest. ASD Was closed with Special occluder device under trans-esophageal echocardiography (TEE) guidance. Results:Of the patients.the procedure was successful y completed in 106 cases.The mean operation time mean 5±0.3hours.The average intra-operative blood loss (41.5±10.3)mL. The patients were discharged from our hospital in 3 to 9days. No dislocation of the device or atrial shunt was found in 3 to 36months after the operation.Three patients were converted to open surgery because of failure in the occlusion. Conclusion:Occlusion via smal chest incision is safe、minimal y invasive、safe、ef ective and convenient for ASD.