医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
20期
208-208
,共1页
谭洪文%杨天和%刘晓桥%梁勤%吴强%张萍%蒋清安%杨永曜%张长海
譚洪文%楊天和%劉曉橋%樑勤%吳彊%張萍%蔣清安%楊永曜%張長海
담홍문%양천화%류효교%량근%오강%장평%장청안%양영요%장장해
房间隔缺损%细腰大边型封堵器%介入治疗
房間隔缺損%細腰大邊型封堵器%介入治療
방간격결손%세요대변형봉도기%개입치료
Atrial septal defect%Slender waist-big edge occluder%Interventional therapy
目的评价国产细腰大边型房缺封堵器治疗特殊房间隔缺损的安全性及近期疗效。方法经胸超声心动图及心导管检查确诊的14例特殊房间隔缺损（其中房间隔瘤并房缺6例，多孔型房缺8例），在X线及超声心动图引导下采用国产细腰大边型房缺封堵器介入封堵治疗，术后24 h、1个月、3个月常规进行心电图及经胸超声心动图随访复查。结果14例患者均封堵成功，手术成功率100%，2例患者术后即刻超声检查有少许残余分流，1例于术后24 h随访残余分流消失，1例于术后3个月随访残余分流消失，所有患者随访3个月均无封堵器脱落、血栓栓塞性疾病、心包填塞及房室传导阻滞等严重并发症发生。结论国产细腰大边型房缺封堵器可安全应用于部分特殊房间隔缺损患者的封堵治疗，近期效果良好。
目的評價國產細腰大邊型房缺封堵器治療特殊房間隔缺損的安全性及近期療效。方法經胸超聲心動圖及心導管檢查確診的14例特殊房間隔缺損（其中房間隔瘤併房缺6例，多孔型房缺8例），在X線及超聲心動圖引導下採用國產細腰大邊型房缺封堵器介入封堵治療，術後24 h、1箇月、3箇月常規進行心電圖及經胸超聲心動圖隨訪複查。結果14例患者均封堵成功，手術成功率100%，2例患者術後即刻超聲檢查有少許殘餘分流，1例于術後24 h隨訪殘餘分流消失，1例于術後3箇月隨訪殘餘分流消失，所有患者隨訪3箇月均無封堵器脫落、血栓栓塞性疾病、心包填塞及房室傳導阻滯等嚴重併髮癥髮生。結論國產細腰大邊型房缺封堵器可安全應用于部分特殊房間隔缺損患者的封堵治療，近期效果良好。
목적평개국산세요대변형방결봉도기치료특수방간격결손적안전성급근기료효。방법경흉초성심동도급심도관검사학진적14례특수방간격결손（기중방간격류병방결6례，다공형방결8례），재X선급초성심동도인도하채용국산세요대변형방결봉도기개입봉도치료，술후24 h、1개월、3개월상규진행심전도급경흉초성심동도수방복사。결과14례환자균봉도성공，수술성공솔100%，2례환자술후즉각초성검사유소허잔여분류，1례우술후24 h수방잔여분류소실，1례우술후3개월수방잔여분류소실，소유환자수방3개월균무봉도기탈락、혈전전새성질병、심포전새급방실전도조체등엄중병발증발생。결론국산세요대변형방결봉도기가안전응용우부분특수방간격결손환자적봉도치료，근기효과량호。
Objective To evaluate the safety and short time ef icacy of the domestic slender waist-big edge atrial septal defect (ASD) occluder in interventional therapy of unusual atrial septal defect. Methods Fourteen patients with unusual ASD confirmed by transthoracic echocardiography (TTE) and cardiac catheterization who underwent transcatheter closure procedure by using domestic slender waist-big edge atrial septal defect occluder under the guidance of X-ray and enchocardiography.Al patients were reexamined by ECG and enchocardiography in 24 hours,1 month,3 months post-operation respectively. Results Occlusion was performed successful y in 14 patients. Trivial residual shunt was observed by enchocardiography immediately after the procedure in 2 patients and had disappeared at 24 hours and 3 months fol ow up.No severe complications were observed including device displacement, thrombotic disease, pericardial tamponade, atrioventricular block during the perioperative period and the 3-month fol ow-up. Conclusion Domestic slender waist-big edge atrial septal defect occluder are safety and ef icacy for the treatment of unusual ASD.
