【摘要】 目的探讨经食管超声心动图(TEE)在经胸微创治疗房间隔缺损(ASD)时选择封堵器中的应用价值。方法选取我院接受微创封堵治疗的ASD患者26例,术前分别行TEE及经胸超声心动图检测,数据相差在10%以内者,以TEE结果确定封堵器规格;数据相差超过10%,则以经胸超声心动图结果确定封堵器规格。结果所有患者均经TEE结果确定封堵器型号,且均安装成功封堵器;心内平均操作时间(15.8±2.5)min,术后平均(3.8±0.6)d出院;持续随访6个月未见分流。结论 TEE检测ASD缺损最大径结果准确,对指导选择封堵器有重要价值。更多还原

【Abstract】 Objective To investigate the value of transesophageal echocardiography(TEE) in guiding transthoracic minimal invasive closure of atrial septal defect(ASD). Methods Twenty-six Patients with ASD received transthoracic minimal invasive closure in our hospital were retrospectively analyzed. TEE and transthoracic echocardiography(TTE)examination were performed before surgery,the maximum diameters from TEE and TTE were compared. When the difference was within 10%,the results from TEE was used to determine the diameter of closure,while the difference was more than 10%,the result of TTE was adopted. Results All patients were treated by TEE results to determine the occluder,the devices were successfully installed in the heart. The mean operating time within the heart was(15.8±2.5)min,the average hospital stay time was(3.8 ± 0.6)d. There was no residual shunt during the follow-up period. Conclusion The maximum diameter of ASD measured with TEE is accurate,which has a great value in the closure selection.更多还原