超声心动图监测在先天性心脏病介入封堵治疗中的临床价值  

Transthoracic echocardiography value of monitoring in interventional treatment of congenital heart diseases

作　　者：邓劲松[1] 郑权辉 邓素雅[1] 王洁[1] 张春丽[1] 曾广绥[1] 石挥扬[1] 

机构地区：[1]武警广东省总队医院超声科,广州市510507

出　　处：《实用医学杂志》2014年第23期3813-3815,共3页The Journal of Practical Medicine

摘　　要：目的:探讨经胸超声心动图(TTE)在导管介入治疗先天性心脏病的临床疗效。方法:术前TTE检查筛选57例先天性心脏病患者,在TTE检查配合X线监测下行Amplatzer封堵器介入治疗术,其中23例房间隔缺损(ASD),29例室间隔缺损(VSD),4例动脉导管未闭(PDA),1例VSD合并ASD。结果:52例患者均成功封堵,封堵术后即刻、1周内、1个月、3个月、6个月、1年随访TTE观察封堵效果,封堵器位置良好,封堵器周边无残余分流。3例ASD及2例VSD未成功封堵。结论:TTE在先天性心脏病封堵术前病例的选择、术中监测封堵器释放、术后疗效评价均有重要的临床应用价值。Objective To investigate the clinical efficacy of transthoracic echocardiography （TTE） in catheter interventional treatment of congenital heart disease. Methods 57 patients with congenital heart disease were selected by preoperative TTE screening and then received Amplatzer occluder interventional treatment under X-ray monitoring. 23 of them were atrial septal defect （ASD）, 29 were ventricular septal defect （VSD）, 4 were patent ductus arteriosus （PDA）, and one was VSD complicated with ASD. Results All the patients were treated successfully. The occlusion effect was observed by follow-up immediately after the procedure, and one week, one month, three months, six months, and one year after the procedure. The position of the occluder did not change, the surrounding of the occluder has no residual shunt. 3 cases of ASD and 2 of VSD were failed to plugged. Conclusions TTE has important clinical values in selection of the patients with indication , intraoperative detection of the release of Amplatzer, and postoperatve assessment of the efficacy.

关 键 词：经胸超声心动图 房间隔缺损 室间隔缺损 动脉导管未闭 封堵术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R541.1[医药卫生—诊断学]