CAJ | 학술논문

目的：探讨室间隔缺损（VSD）介入治疗中改良的保留导丝技术的应用价值。方法2011年6月-2013年6月在上海长海医院行经皮VSD封堵术中应用保留导丝技术的患者62例，按操作步骤不同分成两组：传统保留导丝技术组（A组）30例和改良保留导丝技术组（B组）32例。观察两组术中封堵器的使用情况、X线透视时间、手术时间及并发症情况。结果两组患者封堵器的使用情况及并发症发生情况比较，差异无统计学意义（P＞0.05），两组患者均无严重并发症。 A组患者术中X线透视时间为（11.96±3.63）min，手术时间为（53.43±14.48）min；B组患者术中X线透视时间为（9.37±2.77）min，手术时间为（45.34±10.38）min，两组比较，差异均有统计学意义（P＜0.05）。结论改良保留导丝技术封堵VSD可进一步缩短X线透视时间及手术时间，且安全、有效，适合复杂性VSD的介入治疗，值得临床推广应用。
목적：탐토실간격결손（VSD）개입치료중개량적보류도사기술적응용개치。방법2011년6월-2013년6월재상해장해의원행경피VSD봉도술중응용보류도사기술적환자62례，안조작보취불동분성량조：전통보류도사기술조（A조）30례화개량보류도사기술조（B조）32례。관찰량조술중봉도기적사용정황、X선투시시간、수술시간급병발증정황。결과량조환자봉도기적사용정황급병발증발생정황비교，차이무통계학의의（P＞0.05），량조환자균무엄중병발증。 A조환자술중X선투시시간위（11.96±3.63）min，수술시간위（53.43±14.48）min；B조환자술중X선투시시간위（9.37±2.77）min，수술시간위（45.34±10.38）min，량조비교，차이균유통계학의의（P＜0.05）。결론개량보류도사기술봉도VSD가진일보축단X선투시시간급수술시간，차안전、유효，괄합복잡성VSD적개입치료，치득림상추엄응용。
Objective To discuss the clinical efficacy and safety of improved wire- maintaining technique in performing transcatheter closure of ventricular septal defects. Methods During the period from June 2011 to June 2013 at Changhai Hospital, percutaneous transcatheter closure of ventricular septal defect with improved wire-maintaining technique was carried out in 62 patients. According to the manipulation used , the patients were divided into traditional wire-maintaining technique group (group A, n = 30) and improved wire- maintaining technique group (group B, n = 32). The use of occluder during the procedure, the fluoroscopy time, the operation time and the complications were recorded. Follow-up examinations with ECG, echocardiogram and chest radiograph were performed at 24 hours and at 1 , 3 and 6 months after the procedure. The results were analyzed. Results No statistically significant differences in the use of occluder and in the incidence of complications existed between the two groups (P > 0.05). No severe complications occurred in both groups. The fluoroscopy time and the operation time in group A were (11.96 ± 3.63) min and (53.43 ± 14.48) min respectively, while the fluoroscopy time and the operation time in group B were (9.37 ± 2.77) min and (45.34 ± 10.38) min respectively, and the differences between the two groups were statistically significant (P < 0.05). Conclusion In performing transcatheter closure of ventricular septal defects, the practice.