经食管超声心动图在经皮导管房间隔缺损封堵术中的应用价值  

Application of transesophageal echocardiography in guiding percutaneous device closure of atrial septal defect

作　　者：侯苏芸[1] 崔可飞[1] 刘东海[2] 滑少华[1] 刘会若[1] 李莉锦 张瑞芳[1] HOU Suyun;CUI Kefei;LIU Donghai;HUA Shaohua;LIU Huiruo;LI Lijin;ZHANG Ruifang(Department of Ultrasound,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院超声科,郑州市450052 [2]郑州大学第一附属医院心外科,郑州市450052

出　　处：《临床超声医学杂志》2018年第9期629-631,共3页Journal of Clinical Ultrasound in Medicine

基　　金：河南省高等学校重点科研项目计划(17B320016)

摘　　要：目的探讨经食管超声心动图(TEE)技术在经皮导管房间隔缺损封堵术中的应用价值。方法选取我院术前经胸超声心动图(TTE)初筛符合封堵条件的房间隔缺损患者32例,术中全麻状态下TEE再次筛查确定,并监测引导经股静脉导管封堵治疗;术后3 d,1、3、6个月TTE随访复查。结果 32例初筛入选患者中,术中TEE再次筛查发现1例距下腔静脉为软边,1例为双孔型间隔缺损,隧行常规开胸心脏直视修补手术;余30例均成功行经皮导管介入封堵治疗。术后3 d,1、3、6个月随访复查,TTE显示封堵器位置正常,房水平分流消失,均未出现脱落及残余分流,无严重并发症出现。结论 TEE引导经皮导管治疗房间隔缺损安全有效,且其在术前筛查、术中引导、术后随访中均具有重要的临床应用价值。Objective To explore the application value of transesophageal echocardiography（TEE） in percutaneous device closure of atrial septal defect（ASD）.Methods A total of 32 patients attacked by ASD were enrolled in this study.All patients received the operation of percutaneous device closure.Transthoracic echocardiography was applied for all the subjects before the operation and TEE was applied during the operation.All patients were followed-up 3 d,1 month,3 month and 6 month after surgery.Results In the 32 cases,2 were converted to open surgery after the second diagnosis by TTE,and 30 received percutaneous device closure successfully.In the follow-up of 3 d,1 month,3 month and 6 month after operation,all the device were in an optimal position and no severe complication happened.Conclusion Percutaneous transcatheter closure under the guidance of TEE is a safe and effective method for ASD.TEE has important clinical value in the diagnosis of ASD before operation,guidance during operation and follow-up after operation.

关 键 词：超声心动描记术 经胸 经食管 房间隔缺损 经皮介入封堵 封堵器 

分 类 号：R540.45[医药卫生—心血管疾病]