| 摘要: |
| ［摘要］ 目的 评价经胸超声心动图（TTE）在继发孔房间隔缺损（ASD）围手术期中的应用价值。方法 术前筛选86例有外科手术适应证的继发孔ASD患者，TTE测量各切面ASD大小及残边情况，指导选择封堵器（ASO）型号，术中监测ASO置放及释放过程，术后随访观察。结果 86例患者术前TTE测得ASD最大直径5～34（24.4±5.63）mm，所用ASO直径为8～40（27.5±7.12）mm。TTE成功引导81例ASO置入，总成功率为94.2%，其中双孔ASD 2例，均置入单个ASO成功。5例术后即刻有微量或少量残余分流，术后3个月复查TTE分流完全消失。结论 经导管ASD封堵术是安全可行的方法，TTE对ASD封堵术前病例选择、残边评估、ASO型号选择、术中监测ASO的置放全过程和术后疗效评价有重要临床价值。 |
| 关键词: 超声心动图描记术 房间隔缺损 封堵术 |
| DOI：10.3969/j.issn.1674-3806.2013.06.09 |
| 分类号:R 541.1 |
| 基金项目: |
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| The application value of transthoracic echocardiography in perioperative period of transcatheter closure of ostium secundum atrial septal defects |
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ZHANG Xiao-hong,CHEN Ying,ZHU Dan-ru
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Department of Ultrasound,Huaihe Hospital of Henan University, Kaifeng 475000, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the applied value of transthoracic echocardiography(TTE) in perioperative period of transcatheter closure of ostium secundum atrial septal defects(ASD).Methods Eighty six patients with ostium secundum ASD waiting for surgical treatment underwent TTE for pre-operative assessment of ASD size and rims on various views, selection of amplatzer septal occluder(ASO), monitoring setting and releasing of occluder in operation and post-operation follow-up.Results The size of ASD measured by TTE was 5～34（24.4±5.63）mm in 86 patients before operation, the size of selected occluder was 8～40（27.5±7.12）mm. Eighty-one cases were successfully treated with ASO(94.2%), including 2 cases with multiple ASD. Five patients with residual shunt were found immediately after the operation. During the 3 months follow-up,all residual shunts disappeared.Conclusion Transcatheter closure is a safe and effective method in patients with ostium secundum ASD. TTE have important clinical value in choice of ASD patients and the size of occluder device, monitoring setting and releasing of occluder in operation and evaluation of the treatment efficiency. |
| Key words: Echocardiography Atrial septal defect Transcatheter closure |
