继发孔型房间隔缺损微创封堵的临床研究  

Clinical research of closing ostium secundum in atrial septal defects by microinvasive operation

作　　者：邱罕凡[1] 陈良万[1] 张贵灿[1] 陈道中[1] 

机构地区：[1]福建医科大学附属协和医院心血管外科,福建省福州市350001

出　　处：《中国心血管病研究》2005年第9期656-657,共2页Chinese Journal of Cardiovascular Research

摘　　要：目的总结微创封堵治疗继发孔型房间隔缺损的初步经验。方法全组11例,手术前均确诊为继发孔型房间隔缺损,缺损长径14.6～32.5mm。取右前胸2～3cm长的微创切口,在食管超声心动图引导下,经输送器置入封堵伞,以闭合房间隔缺损。结果11例患者手术均获得成功,无手术相关并发症发生。随访3～10个月,封堵伞无移位、无残余漏。结论微创封堵手术治疗继发孔型房间隔缺损具有安全、高效的优点。Objective To summarize our experience of closing ostium secundum in atrial septal defects （ASD） by microinvasive operation. Methods 11 patients with ASD were operated by microinvasive operation. The diameter of ASD was ranging from 14.6-32.5 mm. Incisions of 2-3 cm were made on the right anterior chest. A special occluding device were inserted to close the ostium under the guidance of transesophageal echocardiography. Results All of the patients were successfully occluded. No complications happened during the procedure. The patients were followed up from 3-10 months, no dislocation of the device or atrial shunt was found. Conclusion Microinvasive operation is safe and efficient to close ostium secundum in ASD. It is suitable for all patients of different age.

关 键 词：房间隔缺损 外科手术 最小侵入性 

分 类 号：R654.2[医药卫生—外科学]