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郑州市儿童医院心胸外科
纸质出版日期:2017,
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[1]董向阳,李文静,陈忠建.彩色多普勒超声在房间隔缺损介入封堵术中的应用价值[J].保健医学研究与实践,2017,14(04):49-51+55.
Dong Xiangyang, Li Wenjing, Chen Zhongjian. Application value of color doppler ultrasound in intervention closure of atrial septal defect[J]. Health Medicine Research and Practice, 2017,14(4):49-51.
目的探讨彩色多普勒超声在房间隔缺损(ASD)介入封堵术中的应用价值。方法选取2015年1月-2016年7月在郑州市某医院就诊的70例ASD患儿为研究对象
采用随机数字表法将患儿分为研究组与对照组
每组35例。对照组患儿在X线结合普通二维超声引导下进行ASD介入封堵术治疗
研究组患儿在彩色多普勒超声引导下进行ASD介入封堵术治疗。比较2组患儿手术持续时间、术后住院时间、术后残余分流率、术后1个月房间隔完全封堵率、术后6个月房间隔完全封堵率及术后并发症发生情况。结果研究组患儿手术持续时间、术后住院时间分别为(73.16±8.93)min
(10.29±2.71)d
短于对照组的(79.57±9.31)min
(12.51±3.26)d
差异均有统计学意义(P<0.05)。研究组患儿术后残余分流率为0.0%
低于对照组的17.1%
差异有统计学意义(P<0.05)。研究组患儿术后1个月房间隔完全封堵率为94.3%
高于对照组的77.1%
差异有统计学意义(P<0.05)。2组患儿术后6个月房间隔完全封堵率均为100.0%
二者比较
差异无统计学意义(P>0.05)。研究组患儿术后并发症发生率为2.9%
低于对照组的22.9%
差异有统计学意义(P<0.05)。结论在彩色多普勒超声引导下进行ASD介入封堵术治疗
可缩短手术持续时间、术后住院时间
降低术后残余分流率及术后并发症发生率
提高术后1个月房间隔完全封堵率
效果显著
值得临床推广应用。
Objective To investigate the application value of color doppler echocardiography in the intervention closure of atrial septal defect(ASD).Methods From January 2015 to July 2016
a total of 70 cases of children with ASD in a hospital of Zhengzhou were selected as the research objects and divided into the research group and the control group with the random number table method
each group of 35 cases.Children in the control group had intervention closure for ASD guided with X-ray combined with ordinary two-dimensional ultrasound
while the research group with ASD had the intervention closure under the guidance of color doppler ultrasound.Operation duration
hospital stay
postoperative residual shunt rate
success rate of closure for atrial septum 1month and 6months after the operation and postoperative complications of 2groups were compared.Results The operation duration
hospital stay of research group were(73.16±8.93)min and(10.29±2.71)d respectively
shorter than the control group(79.57±9.31)min and(12.51±3.26)d
and the differences were statistically significant(P <0.05).The postoperative residual shunt rate of the research group was 0.0%
which was lower than the control group(17.1%)
and the difference was statistically significant(P<0.05).The success rate of closure for atrial septum of research group(94.3%)was higher than that of control group(77.1%)
and the difference was statistically significant(P<0.05).The success rates of closure for atrial septum of 2groups were 100.0% and there was no statistically significant difference between the 2groups(P>0.05).The incidence of postoperative complications of research group was 2.9%
which was lower than that of the control group(22.9%)
and the difference was statistically significant(P<0.05).Conclusion Treating ASD with intervention closure under the guidance of color doppler ultrasound could recluce the operation duration and hospital stay
lower postoperative residual shunt rate and incidence of postoperative complications
also increase the success rate of closure for atrial septum completely 1month after the operation
which is extremely effective and worthy of clinical popularization and application.
彩色多普勒超声房间隔缺损介入封堵术患儿
Color doppler ultrasoundIntervention closure for atrial septal defectsChildren
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