经胸微创封堵术治疗继发孔房间隔缺损109例分析  

Analysis the mini-invasive surgery to close secundum atrial septal defect with special occluder device via small chest incision in 109 cases

作　　者：买买提艾力·艾则孜[1] 郭盛[1] 张总刚[1] 

机构地区：[1]新疆维吾尔自治区人民医院心脏外科,乌鲁木齐市830001

出　　处：《中国心血管病研究》2013年第12期974-976,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的 探讨经胸非体外循环房间隔缺损微创封堵术治疗房间隔缺损的疗效.方法 全组109例患者,年龄3～63岁,ASD直径6～36 mm,均在全麻下经右胸第4肋间隙小切口进胸在经食管心脏彩超引导下经输送器置入封堵器闭合ASD.结果 106例手术成功封堵,手术时间（1.5±0.3）h,术中失血量平均（41.5±10.3）ml.3例患者因术中封堵失败改为体外循环下修补.全组无死亡,术后3～9d恢复后出院.随诊3～36个月.B超示封堵伞没有残余漏,没有移位,心功能改善显著.结论 经胸微创房间隔缺损封堵手术简单、创伤小、安全性高、患者恢复快、疗效满意.Objective To discuss the effect of mini-invasive surgery to close secundum atrial septal defects （ASD） with special occluder device. Methods Totally 109 cases with ASD were treated by occlusion via a small incision （6-36 cm） at the right anterior chest. ASD was closed with special occluder device under trans-esophageal echocardiography（TEE） guidance. Results The procedure was successfully completed in 106 cases. The mean oper- ation time was （1.5＋0.3）hours. The average intra-operative blood loss was （41.5＋10.3）ml. The patients were dis- charged from our hospital in 3 to 9 days. No dislocation of the device or atrial shunt was found in 3 to 36 months af- ter the operation. Three patients were converted to open surgery because of failure in the occlusion. Conclusion Occlusion via small chest incision is safe, minimally invasive, effective and convenient for ASD.

关 键 词：房间隔缺损 微创治疗 经胸小切口 封堵术 

分 类 号：R654.2[医药卫生—外科学]