室间隔缺损封堵术中改良保留导丝技术的临床应用  

Application of improved wire-maintaining technique in performing transcatheter closure of ventricular septal defects: a clinical study

作　　者：谭洪文 张志钢[1,3] 陈翔[1] 朱玉峰[1] 白元[1] 许旭东[1] 吴弘[1] 赵仙先[1] 秦永文[1] 

机构地区：[1]第二军医大学长海医院心血管内科,上海200433 [2]贵州省人民医院心内科 [3]南京军区福州总医院心内科

出　　处：《介入放射学杂志》2014年第9期753-756,共4页Journal of Interventional Radiology

基　　金：国家自然科学青年基金(81201491)

摘　　要：目的探讨室间隔缺损(VSD)介入治疗中改良的保留导丝技术的应用价值。方法 2011年6月—2013年6月在上海长海医院行经皮VSD封堵术中应用保留导丝技术的患者62例,按操作步骤不同分成两组:传统保留导丝技术组(A组)30例和改良保留导丝技术组(B组)32例。观察两组术中封堵器的使用情况、X线透视时间、手术时间及并发症情况。结果两组患者封堵器的使用情况及并发症发生情况比较,差异无统计学意义(P>0.05),两组患者均无严重并发症。A组患者术中X线透视时间为(11.96±3.63)min,手术时间为(53.43±14.48)min;B组患者术中X线透视时间为(9.37±2.77)min,手术时间为(45.34±10.38)min,两组比较,差异均有统计学意义(P<0.05)。结论改良保留导丝技术封堵VSD可进一步缩短X线透视时间及手术时间,且安全、有效,适合复杂性VSD的介入治疗,值得临床推广应用。Objective To discuss the clinical efficacy and safety of improved wire- maintaining technique in performing transcatheter closure of ventricular septal defects. Methods During the period from June 2011 to June 2013 at Changhai Hospital, percutaneous transcatheter closure of ventricular septal defect with improved wire-maintaining technique was carried out in 62 patients. According to the manipulation used , the patients were divided into traditional wire-maintaining technique group （group A, n = 30） and improved wire- maintaining technique group （group B, n = 32）. The use of occluder during the procedure, the fluoroscopy time, the operation time and the complications were recorded. Follow-up examinations with ECG, echocardiogram and chest radiograph were performed at 24 hours and at 1 , 3 and 6 months after the procedure. The results were analyzed. Results No statistically significant differences in the use of occluder and in the incidence of complications existed between the two groups （P 〉 0.05）. No severe complications occurred in both groups. The fluoroscopy time and the operation time in group A were （11.96 ± 3.63） min and （53.43 ± 14.48） min respectively, while the fluoroscopy time and the operation time in group B were （9.37 ± 2.77） min and （45.34 ± 10.38） min respectively, and the differences between the two groups were statistically significant （P 〈 0.05）. Conclusion In performing transcatheter closure of ventricular septal defects, the practice.

关 键 词：室间隔缺损 介入治疗 先天性心脏病 

分 类 号：R541.1[医药卫生—心血管疾病]