经胸彩色多普勒超声心动图在房间隔缺损封堵治疗中的应用价值The application of transthracic color Doppler echocardiography in the occlusion of artrial septal defect
李华,陈晓峰,段建中
摘要(Abstract)：
目的:探讨经胸彩色多普勒超声心动图(CDFI)在房间隔缺损(ASD)封堵治疗中的应用价值。方法:以37例经胸CDFI诊断为房间隔缺损患者按房间隔缺损封堵适应证进行筛选,筛选出23例,术中实时监测封堵器形态、放置位置、有无残余分流;术后即刻及6个月后随访观察并评价封堵疗效。结果:23例房间隔缺损封堵治疗均获得满意治疗效果。21例术中CDFI显示过隔血流完全消失,2例封堵器周边微量残余分流,所有病例术后6个月肺动脉压及房室腔内径明显改善(P<0.05),残余分流消失。结论:彩色多普勒超声心动图在ASD封堵治疗术前筛选、术中监测、即刻疗效评价及术后恢复状况随访评价中有重要的应用价值。
关键词(KeyWords)： 彩色多普勒超声心动图;房间隔缺损;封堵治疗
基金项目(Foundation):
作者(Author): 李华,陈晓峰,段建中
参考文献(References)：
- [1]孔祥清.先天性心脏病介入治疗[M].南京:江苏科学技术出版社,2003.123-125.
- [2]Angira P,Keila L,Anirban B,et al.Transcatheter closure ofatrial septal defects in adults≥40 years of age:Immediate andfollow-Up results[J].J Int Cardiol,2007,20(1):82-88.
- [3]de Lezo JS,Alfonso M,Manuel P,et al.Transcatheter oc-clusion of complex atrial septal defects[J].Cathet CardiovascInt,2000,51(1):33-41.
- [4]Suarez J,Alfonso M,Miguel R,et al.Effectiveness of percu-taneous device occlusion for atrial septal defect in adult patientswith pulmonary hypertension[J].Am Heatrt J,2002,144(5):877-880.
- [5]Massimo C,Mario C,Gianfranco B,et al.Early and late com-plications associated with transcatheter occlusion of secundumatrial septal defect[J].J Am Coll Cardiol,2002,39:1061-1065.
- [6]靳有鹏,王玉林.成人继发孔型房间隔缺损的介入治疗[J].医学影像学杂志,2005,15(11):933-934.