微创封堵术治疗继发孔型房间隔缺损43例报告  

Microinvasive surgical occlusion for ostium secundum atrial septal defects:A report of 43 cases

作　　者：邱罕凡[1] 陈良万[1] 张贵灿[1] 陈彩湄[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,福州350001

出　　处：《中国微创外科杂志》2007年第5期398-399,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的总结微创封堵术治疗继发孔型房间隔缺损的初步经验。方法43例手术前均确诊为继发孔型房间隔缺损,缺损长径9.8～36.3mm。右前胸2～3cm切口,在食管超声心动图引导下经输送器置入封堵伞,闭合房间隔缺损。结果43例手术均获得成功。2例术中出现一过性III度房室传导阻滞,3例中等量胸腔积液,均治愈。术后3个月复查超声心动图提示肺动脉压力(38±16)mmHg较术前(52±21)mmHg显著降低(t=2.917,P=0.005)。43例随访3～21个月,(13.6±8.3)月,封堵伞无移位、无残余漏。结论微创封堵手术治疗房间隔缺损具有安全、高效的优点,适合各年龄组继发孔型房间隔缺损。Objective To summarize the experience of microinvasive surgical occlusion for ostium secundum atrial septal defects （ASD）. Methods A total of 43 patients with ostium secundum ASD was given microinvasive surgical occlusion. The diameter of ASD was 9.8 - 36.3 mm. An incision 2 - 3 cm in length was made on the right anterior chest. A special occluder was inserted to close the ostium under the guidance of transesophageal echocardiography. Results All of the patients were successfully occluded. Transient third degree AV block happened in 2 patients during the procedure. Moderate amount of pleural effusion occurred in 3 patients （cured）. Echocardiography at 3 months after operation showed significant relief of pulmonary artery hypertension （from 52 ±21 mm Hgto38±16 mm Hg; t=2.917, P=0.005）. The patients were followed for3-21 months （13.6 ±8.3 months）, no dislocation of the device or atrial shunt was found. Conclusions Microinvasive surgical occlusion is safe and efficient for the closure of ostium secundum ASD. It is suitable for all patients in various age ranges.

关 键 词：房间隔缺损 封堵伞 封堵术 

分 类 号：R654.2[医药卫生—外科学]