小儿特殊类型房间隔缺损介入治疗  

The interventional therapy of unusual atrial septaldefect in children

作　　者：梁永梅[1] 金梅[1] 王霄芳[1] 郑可[1] 李伟[1] 韩玲[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所小儿心脏科,北京100029

出　　处：《心肺血管病杂志》2011年第5期379-381,共3页Journal of Cardiovascular and Pulmonary Diseases

基　　金：国家"十一五"支撑计划(项目编号:2007BA105B03)

摘　　要：目的:探讨小儿特殊类型房间隔缺损(ASD)封堵术的方法和疗效。方法:1998年11月至2009年12月,应用双盘伞ASD封堵器治疗390例继发孔ASD,其中88例为特殊类型的ASD,分别为:多发性ASD 24例、短残边ASD 64例。其中男性39例,女性49例;年龄3～18岁,平均6岁;术前均经体检、心电图、X线片及超声心动图确诊,术后行心脏超声及临床检查随访。结果:85例患者介入治疗手术获得成功,技术成功率96.6%。ASD直径为5～26 mm,平均直径为(12.7±4.7)mm。24例多孔ASD,有23例置入1个封堵器,1例应用2个封堵器。在平均5年随访中没有严重并发症。结论:小儿特殊类型ASD可通过心导管介入技术来治愈。Objective：To assess the effect and methology in occlusion of Unusual secundum atrial septal defects（ASD） in children.Methods：The transcatheter closure of unusual ASD was performed in 88 children from Nov.1998 to Dec.2009,of whom 24cases had multiple openings,64 cases with edge-insufficiency.Total 88（39male,49female）patients,aged from 3 to 18（12.7±4.7） years old.All of them were confirmed by physical examination,ECG,X-ray and transthoracic echocardiography.Results：The devices were implanted successfully in 85 cases,the technique success rate was 96.6%.ASD was from（5-26）mm,（mean 12.7±4.7） mm.In 24 cases with multiple ASD,23 cases implanted only one occluder to close multiple ASD holes,another 1 case,in which the distance between each ASD holes were 10 mm,were closed by implanting two occluders（14mm,10mm）.At a median follow-up interval of 5years there were no complications.Conclusion：It is suggested that interventional therapy are safe and effective for the unusual ASD.

关 键 词：房间隔缺损 介入治疗 小儿 特殊类型 先天性心脏病 

分 类 号：R541.1[医药卫生—心血管疾病]