经胸超声心动图监测引导在经皮卵圆孔未闭封堵术中的应用效果  

Application effect of transthoracic echocardiography monitoring in percutaneous closure of patent foramen ovale

作　　者：张超[1] 韩冬[1] 范迪堃[1] 高建朝[1] 杨侃[1] ZHANG Chao;HAN Dong;FAN Dikun;GAO Jianchao;YANG Kan(Department of Cardiovascular Surgery,Nanyang Central Hospital of Henan Province,Nanyang,Henan,473000)

机构地区：[1]河南省南阳市中心医院心脏大血管外科,河南南阳473000

出　　处：《实用临床医药杂志》2024年第9期25-28,共4页Journal of Clinical Medicine in Practice

摘　　要：目的 观察经胸超声心动图(TTE)监测引导在经皮卵圆孔未闭(PFO)封堵术中的应用效果。方法 回顾性分析98例PFO患者的资料,患者均行介入封堵术。依据术中引导方式的不同分成X线组(n=50)和TTE组(n=48)。比较2组封堵情况、并发症发生情况、手术指标、右向左分流(RLS)分级情况以及合并偏头痛者的头痛改善情况。结果 98例PFO均成功完成封堵,其中TTE组有2例因术中声窗欠佳,加用经食道超声引导。TTE组手术时间长于X线组,差异有统计学意义(P<0.05)。术后,2组RLS分级及偏头痛者头痛影响测验-6(HIT-6)评分低于术前,差异有统计学意义(P<0.05)。结论 单纯TTE引导的经皮PFO封堵术对PFO患者RLS、偏头痛的改善效果较好,且能规避X线对医患所造成的辐射损伤。Objective To observe the effect of transthoracic echocardiography(TTE)monitoring in percutaneous closure of patent foramen ovale(PFO).Methods The data of 98 patients with PFO were retrospectively analyzed.All patients underwent interventional plugging.They were divided into X-ray group(n=50)and TTE group(n=48)according to different intraoperative guidance methods.The occlusions,complications,surgical indexes,right-to-left shunt(RLS)grading and the improvement of headache in patients with migraine were compared between the two groups.Results A total of 98 cases of PFO were successfully occluded,among which 2 cases in the TTE group received transesophageal ultrasound guidance due to poor intraoperative sound window.The operation time of the TTE group was significantly longer than that of the X-ray group(P<0.05).After operation,RLS rating and Headache Impact Test-6(HIT-6)score of migraine patients in the two groups were significantly lower than those before operation(P<0.05).Conclusion Simple TTE guided percutaneous PFO occlusion has a good improvement effect on RLS and migraine in PFO patients,and can avoid radiation damage caused by X-ray to doctors and patients.

关 键 词：经胸超声心动图 卵圆孔未闭 介入治疗 偏头痛 

分 类 号：R540.4[医药卫生—心血管疾病] R541.1[医药卫生—内科学] R61[医药卫生—临床医学]