【摘要】 目的评价封堵器经导管介入在治疗动脉导管未闭(PDA)、房间隔缺损(ASD)及室间隔缺损(VSD)中的疗效与安全性。方法回顾性分析本院2000年1月至2005年6月应用封堵器经导管介入治疗的PDA、ASD及VSD患者55例临床资料。55例先天性心脏病患者(PDA33例,ASD16例,VSD6例)均在X线透视及造影和超声心动图监视下经导管置入封堵器治疗PDA、ASD及VSD。术后分别于1~3 d复查超声心动图,随访1个月~3年。结果PDA封堵成功率94%,ASD封堵成功率88%,VSD封堵成功率100%。封堵成功的患者均于术后24h、1个月~3年行经胸超声心动图检查和随访,均无残余分流和并发症,右心房、右心室内径均有不同程度的缩小,左、右心室功能得到了改善,生活质量良好。结论经导管置入封堵器是治疗PDA、ASD和VSD的一种操作简便、技术成功率和安全性高、创伤小、并发症少、疗效可靠的治疗方法,应用封堵器介入治疗应该成为PDA、ASD及VSD治疗的首要选择。更多还原

【Abstract】 Objective To evaluate the therapeutic effect of transcatheter closure of patent ductus arteriosus(PDA),atrial septal defects(ASD)and ventricular septal defects(VSD)using occluder in our hospital.Methods Fifty-five cases of congenital heart diseases were retrospectively analized.they were treated with occluder through the percutaneous procedure under fluoroscopy angiography,transthoracic echocardiography(TTE).Results The success rate of PDA was 94%.The success rate of ASD was 88%.The success rate of VSD was 100%.No residual shunts were found in 24 hours after the procedure and 1 week later.Transthoracic echocardiography(TTE)and X-Ray examination showed no residual shunts in all the cases 1 month～3 year later.Conclusion Transcatheter closure of PDA,ASD and VSD with occluder is a simple and efficient method with a high success rate and good occlusion effect.更多还原