食道超声引导下小切口室间隔缺损封堵术治疗先天性室间隔缺损的临床研究(1)
【摘要】 目的：探讨食道超声引导下小切口室间隔缺损封堵术治疗先天性室间隔缺损的临床疗效。方法：选取2013年7月-2016年7月于本院就诊的先天性室间隔缺损患者54例，患者均接受食道超声引导下小切口室间隔缺损封堵术治疗，观察患者手术前后的左心功能及血流动力学指标。结果：54例患者均介入封堵成功，手术时间40～108 min，平均(58.32±16.77)min，无中转体外循环，封堵器安置后即行食道超声检查，封堵器位置、形态适宜，效果良好，9例患者出现少量残余分流，术后5 d复查超声提示分流消失，术后住院时间(5.65±1.34)d；患者术后3 d、1个月、6个月、1年的左心功能及血流动力学指标均显著低于术前，比较差异均有统计学意义(P<0.05)。結论：食道超声引导下小切口室间隔缺损封堵术治疗先天性室间隔缺损的操作简单，创伤小，安全性高，术后患者的左心功能及血流动力学均有效改善。
【关键词】 先天性室间隔缺损； 食道超声； 小切口室间隔缺损封堵术
Clinical Study of Esophagus Ultrasound Guided Small Incision Ventricular Septal Defect Closure in Treatment of Congenital Ventricular Septal Defect/LIU Qiuhua，XIA Xu，ZHENG Hui，et al.//Medical Innovation of China，2018，15(01)：123-125
, 百拇医药
【Abstract】 Objective：To explore the clinical effect of esophagus ultrasound guided small incision ventricular septal defect closure in the treatment of congenital ventricular septal defect.Method：A total of 54 patients with congenital ventricular septal defect from July 2013 to July 2016 in our hospital were selected.They were treated with esophagus ultrasound guided small incision ventricular septal defect closure.The left ventricular function and hemodynamic indexes of patients before and after operation were observed.Result：All the 54 patients were successfully occluded，the operation time was 40-108 min，average(58.32±16.77) min，there was no transit cardiopulmonary bypass，the transesophageal ultrasound was performed immediately after the occluder was installed，occluder position and shape suitable，good effect，a small amount of residual shunt were found in 9 cases，and the disappearance of shunt was suggested after operation 5 days，the postoperative hospitalization time was(5.65±1.34)d.The left ventricular function and hemodynamic indexes of patients after operation
, 百拇医药
3 d，1 month，6 months and 1 year were significantly lower than those before operation，the differences were statistically significant(P<0.05).Conclusion：The operation of esophagus ultrasound guided small incision ventricular septal defect closure for the treatment of congenital ventricular septal defect is simple，small wound and high safety，and the left ventricular function and hemodynamics of the patients after operation were improved effectively.
【Key words】 Congenital ventricular septal defect； Esophagus ultrasound； Small incision ventricular septal defect closure
First-author’s address：Qingyuan People’s Hospital，Qingyuan 511500，China
doi：10.3969/j.issn.1674-4985.2018.01.034
先天性室间隔缺损是最常见的先天性心脏畸形之一，约占先天性心脏病的20%。以往临床上采用外科手术治疗，但需体外循环，且手术创伤大[1]。随着临床技术的不断提高，经食管超声引导小切口室间隔缺损封堵术作为一种新的微创技术广泛应用[2]。本文探讨食道超声引导下小切口室间隔缺损封堵术治疗先天性室间隔缺损的临床疗效，以期为临床治疗提供参考依据，现报道如下。, 百拇医药(刘秋华 夏旭 郑辉 王婷)
【关键词】 先天性室间隔缺损； 食道超声； 小切口室间隔缺损封堵术
Clinical Study of Esophagus Ultrasound Guided Small Incision Ventricular Septal Defect Closure in Treatment of Congenital Ventricular Septal Defect/LIU Qiuhua，XIA Xu，ZHENG Hui，et al.//Medical Innovation of China，2018，15(01)：123-125
, 百拇医药
【Abstract】 Objective：To explore the clinical effect of esophagus ultrasound guided small incision ventricular septal defect closure in the treatment of congenital ventricular septal defect.Method：A total of 54 patients with congenital ventricular septal defect from July 2013 to July 2016 in our hospital were selected.They were treated with esophagus ultrasound guided small incision ventricular septal defect closure.The left ventricular function and hemodynamic indexes of patients before and after operation were observed.Result：All the 54 patients were successfully occluded，the operation time was 40-108 min，average(58.32±16.77) min，there was no transit cardiopulmonary bypass，the transesophageal ultrasound was performed immediately after the occluder was installed，occluder position and shape suitable，good effect，a small amount of residual shunt were found in 9 cases，and the disappearance of shunt was suggested after operation 5 days，the postoperative hospitalization time was(5.65±1.34)d.The left ventricular function and hemodynamic indexes of patients after operation
, 百拇医药
3 d，1 month，6 months and 1 year were significantly lower than those before operation，the differences were statistically significant(P<0.05).Conclusion：The operation of esophagus ultrasound guided small incision ventricular septal defect closure for the treatment of congenital ventricular septal defect is simple，small wound and high safety，and the left ventricular function and hemodynamics of the patients after operation were improved effectively.
【Key words】 Congenital ventricular septal defect； Esophagus ultrasound； Small incision ventricular septal defect closure
First-author’s address：Qingyuan People’s Hospital，Qingyuan 511500，China
doi：10.3969/j.issn.1674-4985.2018.01.034
先天性室间隔缺损是最常见的先天性心脏畸形之一，约占先天性心脏病的20%。以往临床上采用外科手术治疗，但需体外循环，且手术创伤大[1]。随着临床技术的不断提高，经食管超声引导小切口室间隔缺损封堵术作为一种新的微创技术广泛应用[2]。本文探讨食道超声引导下小切口室间隔缺损封堵术治疗先天性室间隔缺损的临床疗效，以期为临床治疗提供参考依据，现报道如下。, 百拇医药(刘秋华 夏旭 郑辉 王婷)