嵴内型室间隔缺损介入封堵治疗后超声心动图评价  

Echocardiographic evaluation of interventional occlusion of intracristal ventricular septal defect

作　　者：吴晓霞[1] 孙琪[2] 马东星[1] 刘惠亮[1] 刘英[1] 李红[1] 王显[2] 

机构地区：[1]武警总医院心内科,北京100039 [2]北京军区总医院心内科,北京100700

出　　处：《武警医学》2011年第2期132-135,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨超声心动图评价嵴内型室间隔缺损(intracristal ventricular septal defect,IVSD)介入封堵术的适应证、近期及远期疗效。方法应用经胸超声心动图对27例IVSD患者进行术前筛查,通过多切面及多角度精确测量缺损大小、主动脉瓣脱垂程度等筛选病例,术中监护封堵伞形态及瓣膜等情况,术后48 h,1、3、6、12、24、36个月进行随访评价封堵术近、远期疗效。结果 27例中25例试行封堵治疗,其中2例因放置封堵器后影响主动脉瓣开放而回收封堵器,23例封堵成功,3例出现主动脉瓣少量反流,随访6～36个月无严重并发症。结论超声心动图在IVSD介入封堵术术前筛选病例,术中监测及术后随访中发挥了重要作用,可提高介入封堵术的成功率并减少并发症。Objective To evaluate the indication of interventional occlusion of intracristal ventricular septal defect （IVSD） and its short - term and long - term efficacy by transthoraeic echocardiography （TTE）. Methods Twenty - seven patients with IVSD were selected by rITE before intervention therapy, including measuring the defect size and the degree of aortic valvular prolapse. Multi -position and muhi - plane examinations were performed to precisely measure the diameters of the defects. The interventional occlusion was monitored by TFE. The morphology of oecluder and the aortic valvula were observed. Patients were followed up at 48 hours, 1, 3, 6, 12, 24 and 36 months after the procedure. Results In all 25 cases, the interventional occlusion of IVSD was successfully completed in 23 cases, and failed in 2 cases because the aortic valula was ＇affected. In 3 cases, mild aortic regurgitation was found. During the follow - up period from 6 to 36 months, there were no severe complications. Conclusions Echocardiography plays a very important role throughout the procedure of IVSD occlusion. It can ensure the success of interventional occlusion of IVSD and reduce complications.

关 键 词：超声心动描记术 室间隔缺损 嵴内型 

分 类 号：R445.1[医药卫生—影像医学与核医学]