中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
12期
122-124
,共3页
单纯继发孔房间隔缺损%导管介入封堵%外科微创封堵
單純繼髮孔房間隔缺損%導管介入封堵%外科微創封堵
단순계발공방간격결손%도관개입봉도%외과미창봉도
Pure secondary pore pathogenesy%Catheter intervention block%Surgical minimally invasive colsure
目的：分析导管介入封堵与外科微创封堵治疗单纯继发孔房间隔缺损的疗效差异。方法选择2013年6月~2014年6月在我院接受治疗的单纯继发孔房间隔缺损患者76例作为研究对象。按照随机数表法将所有入组患者分为观察组（38例）接受导管介入封堵治疗，对照组（38例）接受外科微创封堵治疗，比较两组患者的手术相关指标、手术成功率及术后心功能等差异。结果（1）观察组患者接受导管介入封堵治疗后的手术时间、术中出血量、术后住院时间均低于对照组，术中氧合指数高于对照组患者（P＜0.05）；（2）两组患者的手术成功率差异无统计学意义（P＞0.05），观察组患者接受导管介入封堵治疗后的心功能指标LVEDD、LVEF值均明显高于对照组患者（P＜0.05）。结论导管介入封堵与外科微创封堵均可治疗单纯继发孔房间隔缺损，其中导管介入封堵具有小创伤、恢复快、术后心功能好的优势。
目的：分析導管介入封堵與外科微創封堵治療單純繼髮孔房間隔缺損的療效差異。方法選擇2013年6月~2014年6月在我院接受治療的單純繼髮孔房間隔缺損患者76例作為研究對象。按照隨機數錶法將所有入組患者分為觀察組（38例）接受導管介入封堵治療，對照組（38例）接受外科微創封堵治療，比較兩組患者的手術相關指標、手術成功率及術後心功能等差異。結果（1）觀察組患者接受導管介入封堵治療後的手術時間、術中齣血量、術後住院時間均低于對照組，術中氧閤指數高于對照組患者（P＜0.05）；（2）兩組患者的手術成功率差異無統計學意義（P＞0.05），觀察組患者接受導管介入封堵治療後的心功能指標LVEDD、LVEF值均明顯高于對照組患者（P＜0.05）。結論導管介入封堵與外科微創封堵均可治療單純繼髮孔房間隔缺損，其中導管介入封堵具有小創傷、恢複快、術後心功能好的優勢。
목적：분석도관개입봉도여외과미창봉도치료단순계발공방간격결손적료효차이。방법선택2013년6월~2014년6월재아원접수치료적단순계발공방간격결손환자76례작위연구대상。안조수궤수표법장소유입조환자분위관찰조（38례）접수도관개입봉도치료，대조조（38례）접수외과미창봉도치료，비교량조환자적수술상관지표、수술성공솔급술후심공능등차이。결과（1）관찰조환자접수도관개입봉도치료후적수술시간、술중출혈량、술후주원시간균저우대조조，술중양합지수고우대조조환자（P＜0.05）；（2）량조환자적수술성공솔차이무통계학의의（P＞0.05），관찰조환자접수도관개입봉도치료후적심공능지표LVEDD、LVEF치균명현고우대조조환자（P＜0.05）。결론도관개입봉도여외과미창봉도균가치료단순계발공방간격결손，기중도관개입봉도구유소창상、회복쾌、술후심공능호적우세。
ObjectiveTo analyze and compare the effect of transcatheter closure and surgical minimally invasive closure on patients with pure secondary pore atrial septal defect (ASD).Methods76 cases with pure secondary pore VSD in our hospital from June 2013 to June 2014 as research object, according to random indicator method divided into an observation group (with 38 cases) and a control group (38 cases), the observation group treated with catheter intervention closure, while the control group received surgical minimally invasive block, surgery related indicators, success rate and postoperative cardiac function between the two groups were compared.Results (1) The operation time, intraoperative blood loss, postoperative hospital stay in the observation group were lower than that in the control group, intraoperative oxygenation index was higher than the control group(P<0.05);(2) The success rate in the observation group had no statistical difference with that in the control group(P>0.05), cardiac function index LVEDD, LVEF value of the observation group were significantly higher than the control group (P<0.05). ConclusionCatheter intervention block and surgical minimally invasive block can treat pure secondary pore, atrial septal defects including catheter interventional block has good advantages such as small trauma, rapid recovery, postoperative cardiac function.
