【摘要】 目的 探讨经胸小切口房间隔缺损封堵术治疗房间隔缺损(ASD)的疗效。方法 胸骨右旁第4肋间切口长2 cm,切开心包并悬吊,于右心房壁缝双荷包线,并切开,将输送导管(国产)插入右心房内,通过房间隔缺损口入左心房,在经食管超声监视下,释放出房间隔封堵伞,调整左右侧伞盘夹紧封堵ASD,用保险绳做反复牵拉试验,确认封堵伞位置合适。结果8例均成功封堵,手术时间25~35 min,平均30 min;术后住院3~6 d。术后2~10个月复查,心脏彩超检查封堵伞无移位,无残余分流。结论在经胸壁超声监视下房间隔缺损封堵术是一种微创、安全、简便,值得推广的方法。更多还原

【Abstract】 Objective To discuss the surgical outcomes of atrial septal defects(ASD) by closing the ostium secundum viasmall chest incision.Methods Totally 8 cases with ASD were treated by occlusion via a small incision(2 cm) at the right anterior chest.After cutting the pericardium,the right atrial was sutured with double ring and a special occluding device was inserted to close the ostium.Afterwards,under the guidance of transesophageal echocardiography,the atrial septal occluder were released and the left and right side umbrella disc were adjusted to clamp ASD.the satisfiable position for the occluder was confirmed by repeated testing with the protect string,the protect string were removed.After that the right atrial and the occluder were sutured by a needle thread for fixation.Results Of the patients,the procedure was successfully completed in 8 cases.The mean operation time was 25 to 35 minutes(mean,30 minutes).The patients were discharged from our hospital in 3 to 6 days.No dislocation of the device or atrial shut was found in 2 to 10 months after the operation.Conclusion Occlusion via small chest incision is safe,minimally invasive,and convenient procedure for ASD.更多还原