“个体化”选择室间隔缺损封堵器对防治术后传导阻滞的效果  

作　　者：童一帆[1] 颜友良[1] 李秀丽[1] 刘丽赟[1] 

机构地区：[1]南昌大学第三附属医院心内科,330008

出　　处：《中国医疗前沿》2013年第24期29-29,54,共2页China Healthcare Innovation

摘　　要：目的探讨根据患者室间隔缺损解剖形态、部位和大小,"个体化"选择封堵器对防治室间隔缺损介入封堵治疗术后传导阻滞的作用。方法 243例术前均经超声心动图测量室间隔缺损形态、部位和大小及缺损口周边组织结构的距离,有明确适应症。对其术前、术后1-7d心电图的记录,术中全程及术后24h持续心电监测数据进行比较分析。243例均成功行室间隔缺损介入治疗。结果室间隔缺损解剖形态、部位和大小,选择植入封堵器型号对膜周部室间隔缺介入封堵治疗术后传导阻滞的发生有显著影响(P=0.001)。结论植入封堵器型号对膜周部室间隔缺介入封堵治疗术后传导阻滞的发生有显著影响,经积极治疗大多数均恢复。Objective To discuss the individualized choice of the type of the occulder is the key prevalence and prevention therapy of conduction blockade after interventional occlusion of perimembranous ventricular septal defect（PMVSD）. Methods 243VSD patients were acceppted the interventional occlusion successfully. The distance from upper margin of the defects to the ring of the right aortic valve（DDRAV）, diameter of the VSD were measured by ultrasonicm before the interventional occlusion. Conduction Blockade after interventional occlusure treatment was analyzed retrospectively in all 243 VSD patients. Results Relative to the ring of the right aortic valve（DDRAV） and the diameter of the VSD, The type of the occulder plays important roles in the development of conduction blockade after interventional occlusion（P=0.001）. Conclusion The type of the occulder plays important roles in the development of conduction blockade after interventional occlusion. Most of the conduction blockade can resume after timelv therapy.

关 键 词：室间隔缺损封堵器 个体化 介入封堵术 传导阻滞 

分 类 号：R654.2[医药卫生—外科学]