经胸微创室间隔缺损封堵术21例临床分析  

Clinical analysis of 21 cases with ventricular septal defect by minimally invasive transthoracic device closure

作　　者：郑勇[1] 黄震[1] 

机构地区：[1]泰山医学院附属医院心脏外科,山东泰安271000

出　　处：《泰山医学院学报》2011年第2期116-117,共2页Journal of Taishan Medical College

摘　　要：目的探讨经胸微创治疗小儿室间隔缺损(ventrlcular septal defect,VSD)的临床价值。方法 2009年1月～2010年12月,采用经胸小切口封堵术治疗VSD 21例。男13例,女8例。体重8～15kg,平均(15士5kg),经胸超声心动图(TTE)提示VSD破口直径5～11 mm。全麻后经胸部切口显露右室,在超声食道探头引导下经右室放置封堵器。出院前和术后1个月进行经胸超声心动图、心电图、x线胸片等检查。结果 21例均成功进行封堵,无传导阻滞,无主动脉瓣关闭不全,无封堵器移位、脱落,无血栓形成,三尖瓣无反流,无残余分流。结论经胸微创行VSD封堵效果良好,安全可靠。Objective：To investigate the clinical value of minimally invasive transthoracic device closure of ventricular septal defect（VSD）.Methods：From January 2009 to December 2010,21 patients with VSD（13 male,8 female;weighed 8 to 15 kg with a mean of 15±5kg） underwent a closure of VSD through Transthoracic using Amplatzer oecluder.Before the operation,all the cases had been confirmed as having a 5 to 11 mm VSD by transthoracic echocardiography（TTE）.Under general anaesthesia,a small incision was made to expose the right ventricle,and then occluder was placed in the right ventricle.TEE,electrocardiography and chest X-ray were performed before discharge and 1 month after the operation.Results：The procedure was completed successfully in all the patients.During the period,no A-V block,new AI,occluder displacement,embolization,tricuspid incompetence or residual occurred.Conclusion：VSD occluder is feasible and safe for closure of ventricular septal defects through chest.

关 键 词：先天性室间隔缺损 微创 非体外循环 封堵器 食道超声心动图 

分 类 号：R654.2[医药卫生—外科学]