CAJ | 학술논문

目的：总结经胸微创室间隔缺损（VSD）封堵手术的临床应用经验。方法：回顾分析2013年8月至2014年10月142例确诊的 VSD 患者，在经食道超声心动图（TEE）监测下行经胸微创 VSD 封堵术，出院后进行随访。结果：成功136例，同期手术4例，6例需常规体外循环手术。102例随访3～12个月，16例残余分流。结论：经胸微创封堵VSD手术近期治疗效果满意。目前尚缺乏长期的随访资料，需进一步的随访观察。
목적：총결경흉미창실간격결손（VSD）봉도수술적림상응용경험。방법：회고분석2013년8월지2014년10월142례학진적 VSD 환자，재경식도초성심동도（TEE）감측하행경흉미창 VSD 봉도술，출원후진행수방。결과：성공136례，동기수술4례，6례수상규체외순배수술。102례수방3～12개월，16례잔여분류。결론：경흉미창봉도VSD수술근기치료효과만의。목전상결핍장기적수방자료，수진일보적수방관찰。
Objective To summarize the minimally invasive transthoracic ventricular septal defect (VSD) occlusion operation experience in the clinical application. Methods 142 VSD patients (admitted from August, 2013 to October, 2014) were chosen. All patients were treated with minimally invasive transthoracic device closure under the monitoring of transoesophageal echocardiogram. Results 136 cases received successful closure, and 6 cases still need CPB conventional extracorporeal circulation operation. After follow-up for 3 ~ 12 months for 102 patients, 16 cases remain residual shunt. Conclusion The short-term therapeutic effect of minimally invasive transthoracic device closure of VSD is satisfying. However , the long-term follow-up remains to be studied.