中国医疗前沿
中國醫療前沿
중국의료전연
CHINA HEALTHCARE INNOVATION
2013年
19期
4-5
,共2页
室间隔缺损%三尖瓣%影响
室間隔缺損%三尖瓣%影響
실간격결손%삼첨판%영향
Transcatheter closure of ventricular septal defect%Tricuspid regurgitation%Influence
目的：探讨室间隔缺损介入封堵术对三尖瓣的影响。方法对2012年1月-2013年3月我院203例符合介封堵术适应症的腹部室间隔缺损患者行介入治疗，依据术前三尖瓣反流程度及其是否伴有肺动脉高压，分别进行术前和术后即刻、3d、1个月、3个月和6个月行超声心动图检查，观察三尖瓣受损情况，分析轻、中和重度三尖瓣反流发生比例情况。结果165例成功实施介入手术患者中，1例(0.61%)重度三尖瓣反流；中度(2.42%)4例；轻度16例(9.7%)。观察期末总的三尖瓣反流比例为4.85%。结论对室间隔缺损介入封堵发生三尖瓣反流的原因或与封堵器磨损腱索、导管损伤腱索和输送杆损伤腱索有关，建议在行介入治疗时严格把握手术适应症，在操作过程中小心操作，按规范操作，同时还要密切注意室间隔缺损周围组织结构及形态，以减少三尖瓣反流发生。
目的：探討室間隔缺損介入封堵術對三尖瓣的影響。方法對2012年1月-2013年3月我院203例符閤介封堵術適應癥的腹部室間隔缺損患者行介入治療，依據術前三尖瓣反流程度及其是否伴有肺動脈高壓，分彆進行術前和術後即刻、3d、1箇月、3箇月和6箇月行超聲心動圖檢查，觀察三尖瓣受損情況，分析輕、中和重度三尖瓣反流髮生比例情況。結果165例成功實施介入手術患者中，1例(0.61%)重度三尖瓣反流；中度(2.42%)4例；輕度16例(9.7%)。觀察期末總的三尖瓣反流比例為4.85%。結論對室間隔缺損介入封堵髮生三尖瓣反流的原因或與封堵器磨損腱索、導管損傷腱索和輸送桿損傷腱索有關，建議在行介入治療時嚴格把握手術適應癥，在操作過程中小心操作，按規範操作，同時還要密切註意室間隔缺損週圍組織結構及形態，以減少三尖瓣反流髮生。
목적：탐토실간격결손개입봉도술대삼첨판적영향。방법대2012년1월-2013년3월아원203례부합개봉도술괄응증적복부실간격결손환자행개입치료，의거술전삼첨판반류정도급기시부반유폐동맥고압，분별진행술전화술후즉각、3d、1개월、3개월화6개월행초성심동도검사，관찰삼첨판수손정황，분석경、중화중도삼첨판반류발생비례정황。결과165례성공실시개입수술환자중，1례(0.61%)중도삼첨판반류；중도(2.42%)4례；경도16례(9.7%)。관찰기말총적삼첨판반류비례위4.85%。결론대실간격결손개입봉도발생삼첨판반류적원인혹여봉도기마손건색、도관손상건색화수송간손상건색유관，건의재행개입치료시엄격파악수술괄응증，재조작과정중소심조작，안규범조작，동시환요밀절주의실간격결손주위조직결구급형태，이감소삼첨판반류발생。
Objective To investigate the transcatheter occlusion of ventricular septal defect on the effect of tricuspid regurgitation. Methods 203 cases with dielectric closure indications of abdominal ventricular septal defect were treated with interventional therapy on 2011 January to 2013 March in our hospital, according to preoperative three tricuspid regurgitation severity and is associated with pulmonary arterial hypertension, were performed before and after surgery immediately, 3D, 1 months, 3 months and 6 months the echocardiographic examination, observation of three tricuspid valve damage, statistical analysis of light, moderate and severe tricuspid regurgitation occurred in three the proportion of cases. Results 165 cases of successful implementation of patient access operation, 1 cases(0.61%) and three severe tricuspid regurgitation; moderate(2.42%) of 4 cases of mild in 16 cases(9.7%). Observation of the final three tricuspid total reflux ratio of 4.85%. Conclusion In transcatheter closure of ventricular septal defect causes three tricuspid regurgitation or occluder wear tendons, duct injury tendons and conveying rod damage tendons, suggested in the interventional therapy of strict grasp the operation indications, careful manipulation during operation, according to the standard operation, at the same time, pay close attention to structure and morphology ventricular septal defect the surrounding tissue to reduce three, tricuspid regurgitation occurs.
