超声心动图在房间隔缺损患者介入封堵术中的应用价值  

Application value of echocardiography in the treatment of atrial septal defect patients with transcatheter closure

作　　者：于湖 杨辉 段佳庆 续庆艳 赵苏云 YU Hu;YANG Hui;DUAN Jiaqing;XU Qingyan;ZHAO Suyun(Department of Ultrasound Diagnosis,Institute of Health of Ordnance Industry(The 521 Hospital of Ordnance Industry),Xi′an,Shaanxi,710065)

机构地区：[1]兵器工业卫生研究所(兵器工业521医院)超声诊断科,陕西西安710065

出　　处：《实用临床医药杂志》2020年第6期37-39,43,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨超声心动图在房间隔缺损(ASD)患者介入封堵术中的应用价值。方法选取超声心动图引导下行介入封堵术的ASD患者60例,分析超声心动图的应用价值。结果与术前、术后1 d比较,60例患者术后1个月超声心动图各指标显著改善(P<0.05)。术后1 d、术后1个月,所有患者16节段达到最小容积的时间(T_(msv))及校正值(T_(msv%))、16节段达到最小容积的时间标准差(T_(msv16-SD))及校正值(T_(msv16-SD%))、16节段达到最小容积的时间的最大差值(T_(msv16-Dif))及校正值(T_(msv16-Dif%))均较术前显著改善(P<0.05),且术后1个月与术后1 d比较也有显著差异(P<0.05)。与术前比较,患者术后1 d及术后1个月的动脉血气指标显著改善(P<0.05)。术后1 d及术后1个月时,患者不良反应发生率比较无显著差异(P>0.05)。结论在ASD介入封堵术中应用超声心动图可指导手术封堵过程,实时监测不良反应发生情况,评估病情。Objective To explore the application value of echocardiography in the treatment of atrial septal defect(ASD)patients with transcatheter closure.Methods Totally 60 ASD patients with transcatheter closure under echocardiography were selected.Application value of echocardiography was analyzed.Results Compared with the results before operation and one day after operation,all the indicators of echocardiography were improved significantly at one month after operation(P<0.05).At one day and one month after operation,the time for 16 segments to reach minimum volume(Tmsv)and its correction value(Tmsv%),the standard deviation of time for 16 segments to reach minimum volume(Tmsv16-SD)and its correction value(Tmsv16-SD%),and the maximum difference of the time for 16 segments to reach minimum volume(Tmsv16-Dif)and its correction value(Tmsv16-Dif%)were significantly better than those before treatment in all the patients(P<0.05),and there were also significant differences in these indexes between one day after treatment and one month after treatment(P<0.05).Compared with those before operation,the arterial blood gas indexes were significantly improved one day and one month after operation in all the patients(P<0.05).There was no significant difference in the incidence of adverse reactions between one day after operation and one month after operation in all the patients(P>0.05).Conclusion Application of echocardiography in ASD patients with transcatheter closure can guide the process of surgical closure,timely monitor the occurrence of adverse reactions,and evaluate the disease condition.

关 键 词：房间隔缺损 介入封堵术 超声心动图 左心室收缩同步性 动脉血气指标 

分 类 号：R541.1[医药卫生—心血管疾病]