CAJ | 학술논문

目的：探讨根据患者室间隔缺损解剖形态、部位和大小，“个体化”选择封堵器对防治室间隔缺损介入封堵治疗术后传导阻滞的作用。方法243例术前均经超声心动图测量室间隔缺损形态、部位和大小及缺损口周边组织结构的距离，有明确适应症。对其术前、术后1-7d心电图的记录，术中全程及术后24h持续心电监测数据进行比较分析。243例均成功行室间隔缺损介入治疗。结果室间隔缺损解剖形态、部位和大小，选择植入封堵器型号对膜周部室间隔缺介入封堵治疗术后传导阻滞的发生有显著影响(P =0.001)。结论植入封堵器型号对膜周部室间隔缺介入封堵治疗术后传导阻滞的发生有显著影响，经积极治疗大多数均恢复。
목적：탐토근거환자실간격결손해부형태、부위화대소，“개체화”선택봉도기대방치실간격결손개입봉도치료술후전도조체적작용。방법243례술전균경초성심동도측량실간격결손형태、부위화대소급결손구주변조직결구적거리，유명학괄응증。대기술전、술후1-7d심전도적기록，술중전정급술후24h지속심전감측수거진행비교분석。243례균성공행실간격결손개입치료。결과실간격결손해부형태、부위화대소，선택식입봉도기형호대막주부실간격결개입봉도치료술후전도조체적발생유현저영향(P =0.001)。결론식입봉도기형호대막주부실간격결개입봉도치료술후전도조체적발생유현저영향，경적겁치료대다수균회복。
Objective To discuss the individualized choice of the type of the occulder is the key prevalence and prevention therapy of conduction blockade after interventional occlusion of perimembranous ventricular septal defect(PMVSD). Methods 243VSD patients were acceppted the interventional occlusion successfully. The distance from upper margin of the defects to the ring of the right aortic valve(DDRAV), diameter of the VSD were measured by ultrasonicm before the interventional occlusion. Conduction Blockade after interventional occlusure treatment was analyzed retrospectively in all 243 VSD patients. Results Relative to the ring of the right aortic valve(DDRAV) and the diameter of the VSD, The type of the occulder plays important roles in the development of conduction blockade after interventional occlusion(P =0.001). Conclusion The type of the occulder plays important roles in the development of conduction blockade after interventional occlusion. Most of the conduction blockade can resume after timely therapy.