经胸超声心动图在房间隔缺损封堵术中的临床应用价值  

Clinical application value of transthoracic echocardiography in atrial septal defect occlusion

作　　者：罗开琴 陈海燕[2] 邓仕军[1] 彭莉[1] 孙青[1] 

机构地区：[1]广元市第一人民医院功能科,四川广元635000 [2]上海市复旦大学附属中山医院心超室,上海200032

出　　处：《现代医药卫生》2011年第10期1457-1458,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨经胸超声心动图(TTE)在房间隔缺损(ASD)封堵术中的临床价值。方法:回顾性分析经右心导管介入方法治疗的46例房间隔缺损的大小、残缘的情况及所选Amplatzer封堵器的型号,术中、术后监测封堵器放置情况及房水平是否存在残余分流、二尖瓣及三尖瓣启闭情况,右房壁及主动脉管壁完整性,右心负荷变化及右室壁运动改善情况。结果:45例ASD损患者封堵成功,1例封堵失败。结论:TTE在ASD损封堵术前筛选病例、术中监测、术后随访均具有重要的临床价值,是ASD损封堵术不可缺少的技术之一。Objective：To evaluate the clinical value of transthoracic echocardiography（TTE） in the atrial septal defect（ASD） occlusion.Methods：To perform the retrospective analysis on 46 cases of ASD treated by right heart catheterization intervention in aspects of the size of ASD,status of residual edge,model of Amplatzer occluder,intraoperative and postoperative monitoring occluder placing,residual shunt at atrial level,mitral and tricuspid valve opening and closing,right atrial wall and aortic wall integrity,right ventricular load changes and right ventricular wall motion improvement.Results：45 cases of ASD were successfully occluded and 1 case failed.Conclusion：Transthoracic echocardiography has the important clinical value in preoperative case screening,intraoperative monitoring,postoperative follow-up for ASD occlusion,which is one of indispensable techniques in ASD occlusion.

关 键 词：经胸超声心动图 房间隔缺损 封堵术 临床价值 

分 类 号：R445[医药卫生—影像医学与核医学]