经右胸腔2cm小切口心房穿刺伞堵修补房间隔缺损  

Clinical study on repairing atrial septal defect by carrot embolus seal

作　　者：乔建华[1] 王双双[1] 冯钢[1] 程颖[1] 熊少伟[1] 

机构地区：[1]北京大学深圳医院心血管外科,广东深圳518036

出　　处：《罕少疾病杂志》2004年第6期9-10,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的评价经右胸腔微创2cm小切口心房穿刺伞堵修补房间隔缺损的临床应用价值。方法回顾性分析我院应用右胸腔2cm小切口心房穿刺伞堵术式治疗6例房间隔缺损患者的临床资料。结果6例全部为女性,年龄20～54岁,5例为继发孔中央型,1例为继发孔上腔型。缺损直径0.6～2.9cm。手术经右侧第四肋间小切口进胸,在心脏彩超引导下心房穿刺、置伞、封堵房间隔缺损。术后3年随访,全部封堵严密,无残余漏及并发症发生。结论该术式创伤小,手术入径直捷,伞安装牢固可靠,适用范围广,值得临床推广。Objective To evaluate the application value of carrot embolus seal on repairing atrial septal defect (ASD) through right thoracic cavity 2.0cm small wound. Methods The clinical data of 6 patients with ASD using carrot embolus seal were analyzed retrospectively. Results All 6 patients were female, whose age ranged from 20 to 54 years. The diameter of detect was 0.6～2.9cm. 6 patients underwent the operation by opening thoracic cavity between the fourth and fifth rib under echocardiography. In the period of post-operative following-up with 3 years, the remainder shunt and complications were not occurred. Conclusion Because the operative wound is small, the operative enter is straightforward, and the carrot embolus can be fixed firmly, this method should be spreaded.

关 键 词：穿刺 房间隔缺损 小切口 右胸腔 心房 并发症 继发 术式 治疗 手术 

分 类 号：R654.2[医药卫生—外科学] R541[医药卫生—临床医学]