单纯输送鞘法经胸超声引导封堵卵圆孔未闭的临床疗效

龚勇泉; 陈超容; 农巍; 卢天成; 韦成信; 吴先球

doi:10.11659/jjssx.03E023066

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单纯输送鞘法经胸超声引导封堵卵圆孔未闭的临床疗效

临床研究 | 更新时间：2024-02-02

- 单纯输送鞘法经胸超声引导封堵卵圆孔未闭的临床疗效
- Clinical efficacy of closure operation guided by transthoracic echocardiography with simply delivery sheath for patent foramen ovale
- 局解手术学杂志 2024年33卷第2期页码：129-132
- 作者机构：
  
  1.柳州市人民医院心脏血管外科，广西柳州 545003
  2.柳州市人民医院超声影像科，广西柳州 545003
- 作者简介：
  
  韦成信，E-mail： wei_cx@163.com
- 基金信息：
- DOI：10.11659/jjssx.03E023066
  中图分类号： R615
- 纸质出版日期：2024-02-25，
  
  收稿日期：2023-03-11，
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龚勇泉,陈超容,农巍等.单纯输送鞘法经胸超声引导封堵卵圆孔未闭的临床疗效[J].局解手术学杂志,2024,33(02):129-132.

GONG Yong-quan,CHEN Chao-rong,NONG Wei,et al.Clinical efficacy of closure operation guided by transthoracic echocardiography with simply delivery sheath for patent foramen ovale[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(02):129-132.
龚勇泉,陈超容,农巍等.单纯输送鞘法经胸超声引导封堵卵圆孔未闭的临床疗效[J].局解手术学杂志,2024,33(02):129-132. DOI： 10.11659/jjssx.03E023066.

GONG Yong-quan,CHEN Chao-rong,NONG Wei,et al.Clinical efficacy of closure operation guided by transthoracic echocardiography with simply delivery sheath for patent foramen ovale[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(02):129-132. DOI： 10.11659/jjssx.03E023066.

摘要

目的

探讨单纯输送鞘法行经胸超声引导下经皮卵圆孔封堵手术的临床治疗效果。

方法

回顾性分析2020年1月至2022年12月于我院行介入封堵手术或单纯输送鞘法经胸超声引导经皮卵圆孔封堵手术的卵圆孔未闭患者临床资料，分别设为介入封堵组（40例）和单纯输送鞘组（39例）。比较2组患者的手术时间、手术并发症发生率及手术成功率；术后超声评价封堵效果；术后随访6个月，评估患者临床症状缓解情况。

结果

单纯输送鞘组手术成功率（100%）高于介入封堵组（90.0%），差异有统计学意义(

0.05)。单纯输送鞘组手术时间长于介入封堵组，差异有统计学意义(

0.05)。介入封堵组1例患者术中出现少量心包积液；单纯输送鞘组2例患者术中出现血压降低、心率减慢，对症处理后症状消失。2组并发症发生率比较，差异无统计学意义(

0.05)。术后6个月随访，封堵伞位置良好，无残余漏；介入封堵组28例患者头痛、头晕症状消失，8例患者症状明显缓解；单纯输送鞘组30例患者头痛、头晕症状消失，9例患者症状明显缓解。

结论

单纯输送鞘法经胸超声引导经皮卵圆孔封堵手术安全可行，疗效满意，手术成功率高，无辐射危害，值得临床推广。

Abstract

Objective

To investigate the clinical efficacy of percutaneous closure of foramen ovale guided by transthoracic echocardio-graphy with simply delivery sheath.

Methods

The clinical data of patients with patent foramen ovale underwent interventional closure and percutaneous closure guided by transthoracic echocardiography with simply delivery sheath in our hospital from January 2020 to December 2022 were analyzed retrospectively， the patients were divided into interventional closure group（40 cases） and simply delivery sheath group（39 cases）. The operation time，incidence of surgical complications，and surgical success rates of patients in the two groups were compared. The closure effect were evaluated by ultrasound immediately after surgery. All the patients were followed up for 6 months after surgery to evaluate remission of the symptoms.

Results

The surgical success rate of simply delivery sheath group（100%） was higher than that of interventional closure group（90.0%），with statistically significant difference（

0.05）.The operation time of simply delivery sheath group was longer than that of interventional closure group，with statistically significant difference（

0.05）. One patient in the interventional closure group had small amount of pericardial effusion during the operation. Two patients had decreased blood pressure and slowed heart rate in simply delivery sheath group，and symptoms disappeared after treatment. There was no significant difference in the incidence of complications between the two groups（

0.05）.After 6-month follow-up， all occluders were in good position and no residual leakage was found.The symptoms of headache or dizziness disappeared in 28 patients in interventional closure group，significantly relieved in 8 patients； the symptoms of headache or dizziness disappeared in 30 patients in simply delivery sheath group，and significantly relieved in 9 patients.

Conclusion

Percutaneous closure for patent foramen ovale under the guidence of transthoracic echocardiography with simply delivery sheath is safe and feasible with satisfactory efficacy and higher successful rate without radiation hazard. It is worthy of clinical promotion.

关键词

卵圆孔未闭介入治疗经胸超声心动图封堵治疗

Keywords

patent foramen ovaleinterventional therapytransthoracic echocardiographyclosure

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