超声心动图在经导管房间隔缺损封堵术中的应用研究

Application observation of echocardiography in patients with transcatheter atrial septal defect closure

目的:探讨分析超声心动图在经导管房间隔缺损封堵术中的应用价值。方法:选取68例经导管房间隔封堵术患者,利用经胸超声心动图对全身麻醉下经导管房间隔封堵术患者进行引导和心功能监测。结果:68例房间隔缺损患者均在经胸超声心动图引导和监测下成功地完成缺损封堵,平均手术时间为(23.8±4.7)min;平均住院天数为(5.2±1.3)d。术后2 d及术后3个月,患者右室舒张末期内径均较术前缩小(t=11.232,t=16.589;P<0.05);右房内径均较术前缩小(t=10.573,t=14.793;P<0.05);左室舒张末期内径均较术前增大(t=9.378,t=12.245;P<0.05);肺动脉内径均较术前缩小(t=10.026,t=13.873;P<0.05)。结论:超声心动图可以对经导管房间隔缺损封堵术进行术中全程引导、心功能监测、术后随访以及疗效评定。

Objective： To study the application value of echocardiography in transcatheter atrial septal defect closure. Methods： Chosen 2012-2014 years our hospital 68 patients with transcatheter atrial septum closure, using the thoracic echocardiography in patients with transcatheter atrial septum closure under general anesthesia guided and cardiac function monitoring. Results： All 68 patients with atrial septal defects under the guidance and monitoring via thoracic echocardiography defect plugging successfully completed, the average operation time was（23.8±4.7）min; the average hospitalization day was（5.2±1.3）day. Three days, 3 months after operation, right ventricular end-diastolic diameters were narrowing（t=11.232, t=16.589; P0.05）; The right atrium insides were narrowing（t=10.573, t=14.793; P0.05）; left ventricular end-diastolic diameters, were increasing（t=9.378, t=12.245; P0.05）; pulmonary artery diameters were narrowing（t=10.026, t=13.873; P0.05）. Conclusion： Echocardiography can do the entire guide, cardiac function monitoring in transcatheter atrial septal defect closure, postoperative follow-up and curative effect evaluation.