经房间隔穿刺途径封堵未闭卵圆孔的临床效果分析  

Clinical analysis of blocking patent foramen ovale via atrial septal puncture

作　　者：郑治军 李有金[1] 牛涛[1] 张华[1] 黄坛坛 ZHENG Zhijun;LI Youjin;NIU Tao;ZHANG Hua;HUANG Tantan(Department of Cardiac and Vascular Surgery,People′s Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,China)

机构地区：[1]宁夏回族自治区人民医院心脏大血管外科,宁夏银川750002

出　　处：《宁夏医学杂志》2021年第4期309-311,共3页Ningxia Medical Journal

摘　　要：目的对经常规途径行介入封堵失败后的卵圆孔患者改用经房间隔穿刺途径封堵未闭卵圆孔的可行性、安全性及临床效果进行评价分析。方法选取经常规途径行介入封堵失败后改用经房间隔穿刺途径封堵未闭卵圆孔的患者7例作为研究对象(穿刺组),选取同期常规介入封堵成功的卵圆孔未闭患者7例为常规组,观察2组患者的手术时间、安全性、手术效果是否存在差异。结果穿刺组患者手术时间为(99.0±13.4)min,常规组为(43.0±18.5)min,穿刺组手术时间明显长于常规组(P<0.05)。2组患者手术并发症及手术效果比较差异无统计学意义(P>0.05)。结论经常规途径行介入封堵失败后改为经房间隔穿刺途径封堵未闭卵圆孔可行、有效,可作为行介入封堵失败后患者的常规治疗方法。Objective To evaluate the feasibility,safety and clinical effect of blocking patent foramen ovale via atrial septal puncture in patients with failed transcatheter closure.Methods 7 patients and then used atrial septal puncture were selected as the study subjects,7 patients with patent foramen ovale who succeded to block the patent foramen ovale by conventional interventional procedure were selected as the control group The operation time,safety and effect between the two groups were observed.Results The operation time of the study group was(99.0±13.4)min and that of the control group was(43.0±18.5)min.The operation time of the study group was significantly longer than that of the control group(P<0.05).There was no significant difference between the two groups in operative complications and operative effects(P>0.05).Conclusion The blocking patent foramen ovale via atrial septal puncture after the failed transcatheter closure is feasible and effective,and can be used as a routine treatment for patients with failed transcatheter closure.

关 键 词：卵圆孔未闭 房间隔穿刺 介入封堵 

分 类 号：R654.2[医药卫生—外科学]