先心病外科术后残余分流介入治疗  

Interventional Therapy of Residual Shunts after Surgery Repair of Congenital Heart Disease

作　　者：戴海龙[1,2] 鲁一兵[1,2] 张伟华[1,2] 光雪峰[1,2] 尹小龙[1,2] 邓洁[1,2] 

机构地区：[1]昆明医科大学附属延安医院 [2]云南心血管病医院心内科,云南昆明650051

出　　处：《昆明医科大学学报》2013年第3期79-81,共3页Journal of Kunming Medical University

基　　金：云南省自然科学研究基金资助项目(20011FB237)

摘　　要：目的探讨先天性心脏病外科术后残余分流介入治疗临床疗效.方法 2004年1月至2011年4月,介入治疗先天性心脏病外科术后残余分流患者10例,男性6例,女性4例,平均年龄(27.6±10.8)岁,平均体重(59.2±7.6)kg.其中,PDA结扎术后残余分流2例,VSD修补术后残余分流7例,ASD修补术后残余分流1例.术后2 d、1月、3个月、6个月、1 a复查超声心动图及心电图.结果 10例先天性心脏病外科术后残留病变患者均成功介入治疗.所有患者随访无不良并发症发生.结论先天性心脏病外科术后残余分流介入治疗,使手术简便、安全,可获得良好疗效.Objective To investigate the clinical efficacy of interventional therapy of residual shunts after cardiac surgery of congenital heart disease（CHD）.Methods From January 2004 to April 2011,10 patients（6 males and 4 females） with residual shunt after cardiac surgery underwent transcatheter intervention therapy,including 2 patients with residual shunt after surgery of patent ductus arteriosus（PDA）,7 patients with residual shunt after surgery of ventricular septal defect（VSD）,and 1 patient with residual shunt after surgery of atrial septal defect（ASD）.Their mean age was（27.6±10.8） years,and mean weight was（59.2±7.6） kg.Then,their transthoracie echocardiography（TTE） and electrocardiogram（ECG） were undertaken at postoperative 2 days,l month,3 months,6 months and 12 months five time points.ResuIts All 10 patients were treated successfully.No patient encountered complications during follow-up.Conclusion Interventional therapy of residual shunts after surgery of CHD was safe,effective and feasible.

关 键 词：先天性心脏病 残余分流 介入治疗 

分 类 号：R654.2[医药卫生—外科学]