室间隔缺损位置和面积指数与预后关系的研究  

Ultrasonic Ventricular Septal Defect Locality and Area Index As Predicting Outcome Factors in Baby Patients

作　　者：孙斌[1] 贾兵[1] 林其珊[1] 袁俊生 

机构地区：[1]上海医科大学儿科医院心血管中心

出　　处：《中国超声医学杂志》1999年第1期46-48,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的：探讨室间隔缺损的部位及其面积指数在判断此病的预后和手术指征的意义。方法：采用超声心动图技术测定１４０８例单纯室间隔缺损的位置和面积指数（ＩＶＳＤ）。结果：全组ＩＶＳＤ为０．７２±０．２５。在ＩＶＳＤ小于０．５的４０８例膜部室间隔缺损中有３２例（３２／４０８，７．８％）自行闭合，而大于０．５的７７７例中仅４例（４／７７７，０．５％）自行闭合（ｘ２＝６．８，ｐ＜０．０１）。３６例膜部室间隔缺损自行闭合者ＩＶＳＤ为０．４３±０．１７，而未自行闭合者为０．８７±０．２２（ｔ＝４．５，ｐ＜０．０１）。在ＩＶＳＤ大于１．０的３４８例膜部室间隔缺损中有２９７例（２９７／３４８，８５．３％）需手术治疗，而小于１．０的８３７例中仅９３例（９３／８３７，１１．１％）需手术治疗（ｘ２＝７．２，ｐ＜０．０１）。３９０例施行手术治疗者ＩＶＳＤ为１．１±０．３１，而未手术的３９５例为０．６７±０．２４（ｔ＝４．３，ｐ＜０．０１）。１５１例手术治疗的圆锥间隔缺损ＩＶＳＤ为０．７１±０．１８，而未手术的５１例为０．４７±０．０９ｃｍ（ｔ＝３．１，ｐ＜０．０５）。１５１例手术者中１２８例ＩＶＳＤ大于０．５。结论：结果表明膜部室间隔缺损?Objective:To identify the morphometric ventricular septal defect(VSD)size and location for predicting the outcome of the diseased infant and child.Method:1048 consecutive infants were diagnosed as isolated VSD and followed up for 18 7±5 2 months.The ultrasonic VSD area and the body surface area ratio were referred as defect area index(I VSD ,cm 2/m 2).Results:We found VSD closed spontaneously in 48 cases and closed surgically in 546 cases.The incidence of spontaneous closure was higher in muscular septal than in membranous septal defect.Surgically closed I VSD were more than those spontaneousiy closed ones.The incidence of spontaneous closure was higher in patients with I VSD less than 0 5cm 2 /m 2( p <0 01).Conclusion:Surgical intervention is needed in patients with I VSD >1 0cm 2/m 2( p <0 01).The location and I VSD of VSD enable predicting the possible automatic closure or surgery needed in baby with simple VSD.

关 键 词：室间隔缺损 超声心动图 预后 

分 类 号：R541.104[医药卫生—心血管疾病] R540.45[医药卫生—内科学]