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超声引导下胸部微创房间隔缺损封堵术52例临床分析
Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients
- 第三军医大学学报 2018年40卷第19期 页码：1788-1791
- 作者机构：
400045 重庆，重庆市康华众联心血管病医院心外科
- 作者简介：
[ 王学锋，E-mail：xqwangxf@163.com WANG Xuefeng, E-mail: xqwangxf@163.com
- 基金信息：
DOI：10.16016/j.1000-5404.201804053
中图分类号： R654.2;R726.5收稿：2018-04-10，
修回：2018-07-05，
纸质出版：2018-10-15
- 稿件说明：
移动端阅览
方骏, 韦洋, 陈旭东, 等. 超声引导下胸部微创房间隔缺损封堵术52例临床分析[J]. 第三军医大学学报, 2018,40(19):1788-1791.
Jun FANG, Yang WEI, Xudong CHEN, et al. Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients[J]. Journal of Third Military Medical University, 2018, 40(19): 1788-1791.
方骏, 韦洋, 陈旭东, 等. 超声引导下胸部微创房间隔缺损封堵术52例临床分析[J]. 第三军医大学学报, 2018,40(19):1788-1791. DOI： 10.16016/j.1000-5404.201804053.
Jun FANG, Yang WEI, Xudong CHEN, et al. Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients[J]. Journal of Third Military Medical University, 2018, 40(19): 1788-1791. DOI： 10.16016/j.1000-5404.201804053.
摘要
目的
2
探讨超声引导下胸部微创房间隔缺损封堵术的临床应用价值。
方法
2
收集2015年3月至2018年1月超声引导下胸部微创行房间隔缺损封堵术的继发孔房间隔缺损(atrial septal defect，ASD)52例患者为封堵组。对照组为同期40例体外循环下行传统房间隔缺损修补术的继发孔房间隔缺损(ASD)患者。采用统计学方法比较两组病例术前ASD大小、输血情况、手术时间、气管插管时间、住院时间，以及不同时相的右心房大小、肺动脉压力、三尖瓣反流情况。
结果
2
两组患者手术均获成功。术后无并发症，无残余分流。术后复查心脏彩超右心大小较术前明显减小(
P
<
0.05)。封堵组在手术时间、气管插管时间、住院时间均明显低于对照组(
P
<
0.05)。
结论
2
胸部微创超声引导下房间隔缺损封堵术安全、可靠、微创、手术时间短、患者恢复快，优于传统房间隔缺损修补术。
Abstract
Objective
2
To investigate the clinical value of ultrasound-guided chest minimally invasive closure in treatment of atrial septal defect (ASD).
Methods
2
A total of 92 patients with ostium secundum ASD (66 cases from Second Affiliated Hospital of Army Medical University and 26 cases from Chongqing Kanghua Zhonglian Cardiovascular Hospital) during March 2015 and January 2018 were retrospectively recruited in this study. Among them
52 patients (the closure group) underwent ultrasound guided chest minimally invasive closure
while the other 40 patients (the control group) received the repair with extracorporeal circulation. Statistical analyses were used to compare the size of ASD
blood transfusion
operation time
tracheal intubation time
time of hospitalization
including the different stages of the right atrium size
pulmonary artery pressure and tricuspid regurgitation.
Results
2
The operations were all successful in the 2 groups of patients. There were no complications and residual shunts after operation. Echocardiography identified the size of right heart was decreased significantly between before and after operations (
P
<
0.05). The time of operation
tracheal intubation and length of hospital stay were significantly shorter in the closure group than the control group (
P
<
0.05).
Conclusion
2
Ultrasound guided minimally invasive transcatheter closure is safe
reliable and minimally invasive in treatment of ASD
with shorter operation time and faster recovery time
superior to the traditional repair operation.
关键词
Keywords
references
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