婴幼儿室间隔缺损经食管超声引导微创外科封堵治疗的研究进展  

Minimally Invasive Surgical Occlusion of Ventricular Septal Defect in Infants under Guidance of Transesophageal Echocardiography

作　　者：于文波[1] 翟波 YU Wenbo;ZHAI Bo(Department of Cardiothoracic Surgery,Zhengzhou Children s Hospital,Henan Children s Hospital,Children s Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学附属儿童医院河南省儿童医院郑州儿童医院胸心外科,河南郑州450000

出　　处：《心血管病学进展》2021年第5期429-432,441,共5页Advances in Cardiovascular Diseases

基　　金：河南省医学科技攻关联合共建项目(LHGJ20190889)。

摘　　要：室间隔缺损(VSD)是最常见的婴幼儿先天性心脏病之一,其治疗是儿科心脏病、超声影像、麻醉、体外循环和重症监护等多学科协同合作的治疗系统,适时的手术干预是治疗VSD最直接有效的方法。目前临床上手术治疗VSD的方法主要包括:体外循环下修补术、心导管介入封堵术以及食管超声引导外科微创封堵术等三大类。外科微创封堵术治疗VSD是将传统手术、超声辅助和内科介入相结合的一种新型治疗模式,很好地解决了前二者创伤大、风险高、适应证窄、射线辐射和造影剂等诸多顾虑,其疗效确切,安全性高,在临床得到日益关注。现对经食管超声引导下外科微创封堵治疗婴幼儿VSD的发展方向、手术路径以及经验策略等做分析总结。Ventricular septal defect(VSD)is one of the most common congenital heart disease in infants.Its treatment is a multidisciplinary cooperative treatment system,such as pediatric heart disease,ultrasound imaging,anesthesia,cardiopulmonary bypass,and intensive care.Timely surgical intervention is the most direct and effective method to treat VSD.At present,the methods of surgical treatment of VSD mainly include:repair under cardiopulmonary bypass,interventional occlusion of cardiac catheter,and minimally invasive occlusion of esophagus guided by transesophageal echocardiography.Minimally invasive surgical occlusion for VSD is a new treatment mode combining traditional surgery,ultrasound-assisted and medical intervention,which can well solve many concerns of the former two,such as great trauma,high risk,narrow indication,radiation,contrast agent,etc.Its curative effect is exact and its safety is high,which has attracted increasing attention in clinic.Therefore,we analyzed and summarized the development direction,surgical path and experience and skills of minimally invasive surgical occlusion for infants with VSD under the guidance of transesophageal echocardiography.

关 键 词：室间隔缺损 外科微创封堵 食管超声 

分 类 号：R726.5[医药卫生—儿科]