单纯超声引导下经皮封堵治疗先天性心脏病  

Transcatheter closure of congenital heart disease under the guidance of transthoracic echocardiography

作　　者：胡楝[1] 曹勇[1] 韦国雄[1] 刘超[1] 梁华[1] 余观水[1] HU Lian CAO Yong WEI Guoxiong LIU Chao LIANG Hua YU Guangshui(Department of Cardiovascular Surgery, Gaozhou People＇s Hospital, Gaozhou, Guangdong 525200, P.R.Chin)

机构地区：[1]高州市人民医院心血管外科,广东高州525200

出　　处：《中国胸心血管外科临床杂志》2017年第1期52-55,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的探讨在单纯超声心动图引导下经皮封堵术治疗先天性心脏病的可行性。方法回顾性分析我院2013年11月至2015年11月行单纯超声引导下经皮封堵术37例先天性心脏病患者的临床资料,其中男15例、女22例,年龄1~16岁,房间隔缺损32例,动脉导管未闭5例。单纯采用经胸超声引导,于局部麻醉或静脉麻醉下,经股静脉穿刺封堵房间隔缺损和动脉导管未闭。超声监测封堵全过程,评估封堵效果。结果 37例患者在超声监测引导下封堵成功,操作过程相对简易、安全。术后1、3、6个月随访,未发现瓣膜损伤、残余分流、心包积液、外周血管损伤等介入并发症。结论在单纯超声心动图引导下经皮封堵术治疗简单先天性心脏病是可行的,值得进一步临床应用。Objective To explore the feasibility of transcatheter closure of congenital heart disease （CHD） under the guidance of transthoracic echocardiography （TTE）. Methods A total of 37 patients with CHD who received transcatheter closure under the guidance of transthoracic echocardiography from November 2013 through November 2015 in our hospital were recruited. There were 15 males and 22 females, aged 1 to 16 years. Among them 32 patients suffered atrial septal defect and 5 patients had patent ductus arteriosus. The transcatheter closure of CHD was performed under the guidance of TTE. The patients underwent echocardiography follow-up at one, three and six months after surgery. Results Closure devices were successfully implanted in 37 patients under TTE guidance. The procedure was simple and safe. During the follow-up, no severe complication such as valvular injury, pericardial effusion, residual shunt and peripheral vascular injury occurred. Conclusion Transcatheter closure of CHD under TTE guidance is a feasible method and worth further clinical application.

关 键 词：超声心动图 先天性心脏病 封堵术 

分 类 号：R725.4[医药卫生—儿科]