先天性心脏病介入治疗1016例临床疗效分析  

Clinical assessment of interventions in 1016 patients with congenital heart disease

作　　者：胡楝[1] 钟志敏[1] 钟焕清[1] 谢翠贤[1] 刘超[1] 余观水[1] 邓元子[1] 

机构地区：[1]高州市人民医院心血管外科,广东高州525200

出　　处：《岭南心血管病杂志》2011年第1期41-43,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的探讨先天性心脏病介入治疗的临床疗效。方法回顾性分析1016例行先天性心脏病介入治疗的先天性心脏病患者的临床资料,着重分析手术方法和结果。其中动脉导管未闭(PDA)364例,房间隔缺损(ASD)199例,室间隔缺损(VSD)270例,肺动脉瓣狭窄(PS)107例,房间隔缺损合并动脉导管未闭22例,室间隔缺损合并动脉导管未闭11例,肺动脉瓣狭窄合并动脉导管未闭8例,房间隔缺损合并肺动脉瓣狭窄27例,房间隔缺损合并室间隔缺损3例,法洛四联症合并侧支5例。结果技术成功率98.6%(1002/1016),全组无死亡。随访1～6个月,封堵器位置固定,无移位或破损。结论先天性心脏病介入治疗具有成功率高、创伤小、并发症低,操作简单,疗效确切,恢复快等特点,是治疗先天性心脏病的理想手段之一。Objectives To evaluate the results of interventions in patients with congenital heart diseases （CHD）. Methods We retrospectively analyzed the clinical date of 1 016 patients with CHD who were performed CHD intervention therapy, focusing on the methods and effect of CHD intervention. Patients distribution included patent ductus arterlosus （PDA） in 364 patients,atrial septal defeet（ASD） in 199 patients, ventrieular septal defect（VSD） in 270 patients,pulmonary stenosis in 107 patients,ASD with PDA in 22 patients, VSD with PDA in 11 cases, pulmonary stenosis with PDA in 8 cases, ASD with pulmonary stenosis in 27 cases, ASD with VSD in 3 cases, tetralogy of Fallot with systemic-to-pulmonary artery collateral vessels in 5 cases. Results The technical successful rate was 98.6% （ 1 002/ 1 016）. There was no death. Followed up 1 to 6 months, occluder position fixed and no shift or breakage were observed in these patients. Conclusions Interventional therapy of CHD is characterized with a high succesful rate, less invasive, low complication. Transcatheter occlusion shows a promising therapeutic effect on CHD due to its simple, effective, and rapid recovery features.

关 键 词：心脏缺损 先天性 介入治疗 房间隔缺损 室间隔缺损 

分 类 号：R541.1[医药卫生—心血管疾病]