婴幼儿先天性心脏病动脉导管未闭介入治疗效果分析  

Transcatheter treatment of infants with patent ductus arteriosus 53 cases of clinical observation and analysis

作　　者：李有金 刘新波 牛涛 张亚政 马生茂 

机构地区：[1]宁夏人民医院胸心外科,宁夏银川750002

出　　处：《宁夏医学杂志》2017年第10期894-896,共3页Ningxia Medical Journal

基　　金：宁夏陕宁合作科研项目(2011ZYH166);宁夏国际合作科研项目(2011ZYH173)

摘　　要：目的探讨经导管介入治疗婴幼儿先天性心脏病动脉导管未闭(PDA)的治疗效果。方法回顾性分析收治的经导管介入治疗53例PDA婴幼儿的临床资料,采用Amplatzer法或弹簧圈介入封堵,术后24 h、1、3、6、12个月时复查超声心动图(UCG),观察相关指标变化,总结治疗效果。结果 PDA最窄处内径2.68.2 mm,平均(4.0±1.3)mm;肺体循环血流量比(QP/QS)1.117.5,平均3.5±2.2;经介入治疗成功率为96.2%(51/53),1例封堵器牵拉主动脉扭曲畸形使主动脉部分狭窄,1例仍有中量分流伴收缩期杂音,行外科手术治疗。结论 PDA患儿经导管介入治疗效果确切,具有操作简便、有效、安全和适应证广的优势,是绝大多数PDA患儿的首选治疗方法。Objective To investigate the effective of transcatheter closure of patent ductus arteriosus in infant. Method Clini- cal data were retrospectively analyzed. 53 cases of PDA in infants and young children were treated by interventional therapy for treatment using the Amplatzer method or the spring ring of interventional closure, The changes of related indexes of postoperative 24 h, first month, third month, sixth month, twelfth month for echocardiography （UCG） were observed, to summarize the treatment success rate. Result The narrowest diameter of PDA was 2.6 - 8.2ram, average（4.0 ±1.3 ） mm, QP/QS 1.1 - 17.5, average（3.5 ± 2.2）. The suc- cess rate of operation was 96.2% （51/53）, 1 cases of aortic occluder stretch twisted so that partial aortic was stenosed, 1 cases still be in the amount of shunt with systolic murmurs and accepted surgical operation treatment. Conclusion PDA in children after intervention- al treatment have the advantage of simple operation, accurate, effective, safety and wide indication and is the preferred treatment for the vast majority of children with PDA.

关 键 词：PDA 介入治疗 婴幼儿 AMPLATZER法 弹簧圈 

分 类 号：R725.4[医药卫生—儿科]