导管介入治疗先天性心脏病  

Intervenient Treatment with Catheter for Congenital Heart Disease

作　　者：顾兆坤[1] 吕进泉[1] 狄镇海[2] 

机构地区：[1]江苏大学附属医院儿科,江苏镇江212001 [2]江苏大学附属医院介入科,江苏镇江212001

出　　处：《江苏大学学报（医学版）》2003年第3期215-216,共2页Journal of Jiangsu University：Medicine Edition

摘　　要：目的 :探讨先天性心脏病介入治疗的疗效。方法 :采用 3种不同方法治疗动脉导管未闭 (PDA) ,其中海绵塞(Porstmann) 2例、弹簧圈 (Coil) 2例及蘑菇伞堵闭器 (Amplatzer) 1例。 结果 :5例患儿手术均获成功 ,术后 2 4h心脏超声心动图均未发现残余分流 ,4例随访发现增大的心脏在 3～ 5年内恢复正常大小 ,1例术后 1个月增大的心脏恢复正常大小 ,均未发生严重并发症。结论 :心导管介入治疗先天性心脏病简单、安全、有效 ,是一项有发展前途的疗法。Objective:To explore the efficacy of transcatheter closure of congenital heart disease.Methods:Transcatheter closure of patient ductus arteriosus was performed in 5 cases including 2 cases by Porstmann's method as well as detachdable coil device respectively and one case by Amplatzer.Results:Transcatheter closure was succeessfully performed in the 5 patients. Follow up study was conducted by two dimensional Doppler ecchoradiagraphy with color flow mapping. No residual shunt!was noticed in all patients at 24 hours after procedure. The enlarged hearts of 4 patients had reached normal size after a follow up of 3～5 years and the another patient recovered himself only one month after the operation. There was no severe complication in this group.Conclusion:The heart catheterization is a simple, safe, effective and acceptable non surgical treatment for children with congenital heart disease, it is a developing technique.

关 键 词：导管介入 先天性心脏病 治疗 

分 类 号：R725.4[医药卫生—儿科]