介入封堵在治疗室间隔缺损修补术后残余漏上的疗效  

Effects of interventional procedures on congenital ventricular septal defect residual shunt

作　　者：张云涛 郭立新 金敬琳[3] 

机构地区：[1]邢台市第三医院 [2]邢台市心血管病医院心外科,河北邢台054000 [3]阜外心血管病医院放射介入科,北京100037

出　　处：《心脏杂志》2013年第1期57-59,共3页Chinese Heart Journal

摘　　要：目的：探讨介入封堵治疗室间隔缺损（VSD）修补术后残余漏的方法与疗效。方法：全组18例,年龄3～46（14±11）岁。残余漏大小3～8（412±115）mm。通过建立轨道法,封堵VSD术后残余漏,封堵15min后行左心室造影,术后1d及3个月行超声心动图检查,观察封堵效果。结果：全组18例VSD修补术后残余漏患者,除1例因残余漏直径过大,1例因建立轨道困难,封堵未成功外,余均治愈。结论：介入治疗VSD修补术后残余漏疗效满意、可靠。AIM： To assess the effect of interventional procedure on residual shunt after surgical repair of ventricular septal defect. METHODS： Eighteen patients [ aged 3 - 46 years, mean age （ 14± 11 ） years ] were included in the study. Diameter of the residual shunt was 3 - 8 mm [ mean （4. 2 ± 1.5 ） mm ]. Residual shunts were closed by building orbit. Contrast examinations of the left ventricle were performed to evaluate the immediate results 15 min after the closure and eehoeardiography was performed 1 day and 3 months after the closure to decide whether there was residual. RESULT： Except for two cases （one case with too large of a diameter of residual shunt and one case with difficulty of building orbit） , the interventional procedure was successful in the other 16 cases. CONCLUSIONS： Transcatheter closure of postoperative septal residual is safe and effective.

关 键 词：心间隔缺损 心室 外科手术 介入治疗 残余漏 

分 类 号：R541.1[医药卫生—心血管疾病]