经食管超声心动图在经胸微创膜周部室间隔缺损封堵术中的应用价值  

Application value of transesophageal echocardiography in minimally invasive closure of transthoracic perimembranous ventricular septal defect

作　　者：郭朝锋[1] 王晓静[1] 史景璐[1] 王岩青[1] 杨再珍[2] 王孝东[2] GUO Chaofeng;WANG Xiaojing;SHI Jinglu;WANG Yanqing;YANG Zaizhen;WANG Xiaodong(Department of Ultrasound Medicine,People’s Hospital of Zhengzhou,Zhengzhou 450003,China)

机构地区：[1]郑州人民医院超声医学科,郑州市450003 [2]郑州人民医院心脏大血管外科,郑州市450003

出　　处：《临床超声医学杂志》2021年第11期841-844,共4页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨经食管超声心动图(TEE)在经胸微创膜周部室间隔缺损(pmVSD)封堵术中的应用价值。方法选取我院行TEE引导下经胸微创pmVSD封堵术治疗患者77例,依据封堵入路夹角大小将其分为封堵入路夹角<30°组56例和封堵入路夹角≥30°组21例,比较两组手术成功率和心内操作时间;分析封堵入路夹角与心内操作时间的相关性。结果封堵入路夹角<30°组手术成功率较封堵入路夹角≥30°组高(100%vs.80.95%),心内操作时间较封堵入路夹角≥30°组短[(24.50±5.39)min vs.(39.05±4.31)min],两组比较差异均有统计学意义(均P<0.05)。封堵入路夹角与心内操作时间呈正相关(r=0.819,P<0.05)。结论TEE引导下经胸微创pmVSD封堵术中封堵入路夹角<30°时可提高手术成功率,缩短心内操作时间,具有较好的临床应用价值。Objective To investigate the application value of transesophageal echocardiography(TEE)in minimally invasive closure of transthoracic perimembranous ventricular septal defect(pmVSD).Methods Seventy-seven patients with minimally invasive transthoracic pmVSD under TEE guidance were selected from our hospital.According to the occlusion angle,they were divided into 56 patients with occlusion approach angle<30°group and 21 patients with occlusion-approach angle≥30°group.The success rate of surgery and intracardiac operation time of the two groups were compared.The correlation between the occlusion-approach angle and intracardiac operation time was analyzed.Results The operation success rate of the group with the occlusion-approach angle<30°was higher than that of the group with the occlusion-approach angle≥30°(100%vs.80.95%).The intracardiac operation time of the group with the occlusion-approach angle<30°was less than that of the group with the occlusion-approach angle≥30°[(24.50±5.39)min vs.(39.05±4.31)min],and the differences were statistically significant(both P<0.05).There was a positive correlation between the occlusion-approach angle and the intracardiac operation time(r=0.819,P<0.05).Conclusion The occlusion angle<30°can improve the success rate of the operation and shorten the intracardiac operation time under TEE guided transthoracic minimally invasive pmVSD closure.

关 键 词：超声心动描记术 经食管 室间隔缺损 经胸封堵术 心内操作时间 

分 类 号：R540.45[医药卫生—心血管疾病] R318.11[医药卫生—内科学]