经食管超声引导下介入封堵治疗房间隔缺损的应用研究  

Role of transesophageal echocardiography guidance and monitoring in medical interventional closure of atrial septal defects

作　　者：张纯[1,2] 李治安[1,2] 

机构地区：[1]首都医科大学附属北京安贞医院 [2]北京市心肺血管疾病研究所超声医学科,北京100029

出　　处：《心肺血管病杂志》2011年第4期300-302,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:探讨非X线监测下采用经食管超声(TEE),在内科介入封堵治疗房间隔缺损(ASD)中的应用价值。方法:继发孔型ASD患者31例,缺损大小10～30 mm。所有病例完全采用在TEE引导下,置入Amplatzer封堵器闭合ASD,监测封堵的全过程,并在封堵后即刻评价疗效。结果:31例患者在TEE监测引导下封堵器置入均获成功,术中即刻观察仅有3例患者封堵器边缘存在微量残余分流。结论:内科介入封堵治疗ASD时,若适应证选择恰当,在经验丰富操作熟练的术者实施下,可不依赖X线监测,将TEE作为唯一监测和引导手段完成封堵,且方法简便、效果可靠、费用低廉并减少了X线的损伤。Objective：To assess the application value of transesophageal echocardiography in medical interventional closure of atrial septal defect（ASD） without x ray monitoring.Methods： Thirty one patients were involved in this study.The defect diameter was 10-30 mm.Each patient was positioned a Amplatzer device to close the defect in monitoring and guarding by TEE.To evaluate the therapeutic effect shortly after operation.Results：All patients were successfully positioned closure devices by TEE monitoring and guiding.Only 3 cases had micro amounts residual shunt instantly after operation.Conclusion： In medical interventional closure treatment of ASD,TEE may be used the only monitioring and guiding method for its convenient and reliable effect on the condition of applicable indication.

关 键 词：食道超声 房间隔缺损 封堵 介入 非X线监测 

分 类 号：R540.45[医药卫生—心血管疾病]