超声心动图在房间隔缺损封堵术中的应用分析  

Analysis of the Application of Echocardiography in Closure of Atrial Septal Defects

作　　者：安琼辉 刘蜻蜻[1] 

机构地区：[1]大理学院附属医院,云南大理671000

出　　处：《大理学院学报（综合版）》2015年第2期54-56,共3页Journal of Dali University

摘　　要：目的:探讨超声心动图在房间隔缺损封堵术中的价值。方法:对40例房间隔缺损患者进行封堵术前、术中缺损口直径、分流情况、术后跟踪其有无残余分流、心脏大小及肺动脉压改善情况进行分析。结果:40例患者一次性封堵成功,成功率100%,经过术后6个月的跟踪监测,均无残余分流,封堵效果显著,仅1例术前漏诊动脉导管未闭,另1例42岁女性患者术后6月复查右心仍较大,肺动脉压仍属于中度肺动脉高压。结论:超声心动图在房间隔缺损封堵治疗中能准确评估缺损口大小、指导封堵器的选择、实时引导封堵器准确植入、评估患者术后恢复情况,是房间隔缺损封堵术必不可少的监测手段。Objective： To study the value of echocardiography in closure of atrial septal defects. Methods： Analysis was made on preoperative and intraoperative diameter of defects, shunt, postoperative residual shunt, the size of the heart and pulmonary arterial pressure in 40 cases treated by closure of atrial septal defects. Results： Closure was successfully achieved only once in all 40 cases,with the 100% success rate. After 6-month postoperative follow-up monitoring, no residual shunt was observed and the effect was apparent. Patent ductus arteriosus was found only in 1 case because of missed diagnosis, and the right heart of another woman case of42 years old was observed still big and moderate pulmonary hypertension was also observed when reexamined in 6 months＇ time.Conclusion： Echocardiography in the treatment of atrial septal defects could accurately assess the defect size, provide reference for the choice of occluders, guide the embedding of the occluder in real time and evaluate the recovery of the patients, and it was an indispensable monitoring way of closure of atrial septal defects.

关 键 词：超声心动图 房间隔缺损 封堵术 

分 类 号：R540.45[医药卫生—心血管疾病]