CAJ | 학술논문

目的：探讨经胸超声心动图（TTE）在导管介入治疗先天性心脏病的临床疗效。方法：术前TTE检查筛选57例先天性心脏病患者，在TTE 检查配合 X 线监测下行 Amplatzer 封堵器介入治疗术，其中23例房间隔缺损（ASD），29例室间隔缺损（VSD），4例动脉导管未闭（PDA），1例VSD合并ASD。结果：52例患者均成功封堵，封堵术后即刻、1周内、1个月、3个月、6个月、1年随访TTE观察封堵效果，封堵器位置良好，封堵器周边无残余分流。3例ASD及2例VSD 未成功封堵。结论：TTE在先天性心脏病封堵术前病例的选择、术中监测封堵器释放、术后疗效评价均有重要的临床应用价值。
목적：탐토경흉초성심동도（TTE）재도관개입치료선천성심장병적림상료효。방법：술전TTE검사사선57례선천성심장병환자，재TTE 검사배합 X 선감측하행 Amplatzer 봉도기개입치료술，기중23례방간격결손（ASD），29례실간격결손（VSD），4례동맥도관미폐（PDA），1례VSD합병ASD。결과：52례환자균성공봉도，봉도술후즉각、1주내、1개월、3개월、6개월、1년수방TTE관찰봉도효과，봉도기위치량호，봉도기주변무잔여분류。3례ASD급2례VSD 미성공봉도。결론：TTE재선천성심장병봉도술전병례적선택、술중감측봉도기석방、술후료효평개균유중요적림상응용개치。
Objective To investigate the clinical efficacy of transthoracic echocardiography (TTE) in catheter interventional treatment of congenital heart disease. Methods 57 patients with congenital heart disease were selected by preoperative TTE screening and then received Amplatzer occluder interventional treatment under X-ray monitoring. 23 of them were atrial septal defect (ASD), 29 were ventricular septal defect (VSD), 4 were patent ductus arteriosus (PDA), and one was VSD complicated with ASD. Results All the patients were treated successfully. The occlusion effect was observed by follow-up immediately after the procedure, and one week, one month, three months, six months, and one year after the procedure. The position of the occluder did not change, the surrounding of the occluder has no residual shunt. 3 cases of ASD and 2 of VSD were failed to plugged. Conclusions TTE has important clinical values in selection of the patients with indication , intraoperative detection of the release of Amplatzer, and postoperatve assessment of the efficacy.