经导管封堵治疗继发孔房间隔缺损临床研究  

Clinical Study on Transcatheter Closure Therapy for Secundum Atrial Septal Defect

作　　者：周海宁[1] 陈权[1] 张永恒[1] 禹丽[1] 

机构地区：[1]四川省遂宁市中心医院心血管中心,四川遂宁629000

出　　处：《河北医学》2016年第10期1618-1620,共3页Hebei Medicine

基　　金：四川省卫生厅基金资助项目;(编号:130491)

摘　　要：目的：评价经导管封堵治疗继发孔房间隔缺损的安全性及疗效。方法：收集我院2009年12月至2014年12月收治的68例继发孔房间隔缺损患者，其中男16例，女52例，年龄3~65岁；在影像学引导下应用封堵器行导管封堵术治疗房间隔缺损，所有病例在术前及术后3d 行经胸超声心动图（ TTE）、胸片、12导联心电图（ ECG）检查，术后1、3、6、12个月、2年进行随访。结果：68例患者65例手术成功，术后为患者行心脏超声检查未见残余分流，术后患者的心功能得到明显改善。结论：经导管封堵治疗房间隔缺损具有操作简便、安全、技术成功率高等优点，是一种安全有效的治疗方法。Objective：To evaluate the efficacy and safety of transcatheter closure therapy for secundum atrial septal defect （ASD）. Methods：68 patients with secundum ASD （16 male and 52 female）, aged 3 to 65 years old, underwent image-guided transcatheter ASD closure in our hospital from Dec. 2009 to Dec. 2014were collected as objects. All the patients received 12-lead electrocardiogram （ ECG ） , radiography of the chest, and transthoracic echocardiography （ TTE） before and at 3 days after the procedure respectively; and all the patients were followed up at 1 month, 3 months, 6 months, 12 months, and 2 years after the procedure respectively. Results：The transcatheter procedure was successfully done in 65 cases of 68 patients. After the procedure, the heart function was significantly improved and no residual shunt discovered by ultrasonography of the heart. Conclusion： Transcatheter closure therapy for ASD is simple, safe and effective, with a high technical success rate.

关 键 词：房间隔缺损 封堵 并发症 安全性 

分 类 号：R541.1[医药卫生—心血管疾病]