超声引导下经皮及经胸房间隔缺损封堵术的对比研究  

Comparative study on ultrasound-guided percutaneous and transcatheter closure of thoracic atrial septal defect

作　　者：吴澄[1] 钟小梅[1] WU Cheng;ZHONG Xiaomei(People′s Hospital of Ganzhou,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院,江西贛州341000

出　　处：《临床医药实践》2018年第3期180-182,共3页Proceeding of Clinical Medicine

基　　金：赣州市指导性科技计划项目(项目编号:GZ2017ZSF234)

摘　　要：目的:观察超声引导下经皮及经胸房间隔缺损封堵术的对比研究效果。方法:选取2016年8月—2017年8月收治的39例房间隔缺损患儿,在遵循患儿意愿的情况下,按照手术治疗方案不同将患儿均分为两组,其中20例患儿给予超声引导下经皮房间隔缺损封堵术(经皮组),19例患儿给予经胸房间隔缺损封堵术(经胸组),比较两组患儿临床治疗效果。结果:经皮组患儿平均手术时间、住院时间以及住院总费用明显少于经胸组,经皮组并发症发生率明显低于经胸组,两组比较,差异均具有统计学意义(P<0.O5)。结论:房间隔缺损患儿,给予超声引导下经皮房间隔缺损封堵术治疗,可有效缩短患儿手术时间、住院时间,减少患儿住院费用以及并发症发生率。Objective:To observe the application of ultrasound-guided percutaneous and transcatheter closure of thoracic atrial septal defect.Methods:All39cases of atrial septal defect were treated from August2016to August2017in hospital.This study was conducted according to the intention of the children.According to the different treatment plan,all the children were divided into two groups,of which20cases of children given ultrasound-guided percutaneous atrial septal defect closure surgery is the percutaneous group,19cases of children with thoracic septal defect closure is thoracic group.Comparison of the two groups of children with clinical treatment.Results:The average operative time,hospitalization time and hospitalization cost were significantly lower in the percutaneous group than in the transthoracic group.The incidence of complications in the percutane-ous group was significantly lower than that in the thoracotomy group.The data of the two groups were statistically significant(P<0.05).Conclusion:Ultrasound-guided transcatheter closure of atrial septal defect can effectively reduce the operation time,tracheal intubation time and hospitalization time,reduce the hospitalization cost and the incidence of complications.

关 键 词：超声引导 经皮房间隔缺损封堵术 经胸房间隔缺损封堵术 

分 类 号：R655[医药卫生—外科学]