超声心动描记术在先天性心脏病封堵治疗中的应用

Application of echocardiography for occlusion of congenital heart diseases

目的:探讨超声心动描记术在先心病房间隔缺损、室间隔缺损封堵术中的应用价值。方法:对20例房间隔缺损、6例室间隔缺损患者,术前经超声心动描记术确定缺损大小、位置、形态后,行介入封堵治疗,在超声引导下,植入封堵器,术后即刻、3d、1个月随访,最长1例随访4年。结果:术后1例出现轻度二尖瓣返流,1例轻度三尖瓣返流,1例出现室性早搏,1例主动脉瓣返流,所有并发症均于调整封堵器的位置、方向后消失。封堵全部成功。超声心动描记术随访显示封堵器位置稳定、正常,无其他并发症出现。结论:超声心动描记术在介入封堵术前、术中、术后均起着非常重要的作用。

Objective：To explore and evaluate the effect of echocardiography in transcatheter closure of atrial septal defect（ASD）and ventricular septal defect（VSD）.Methods：The study was performed in 20 cases with ASD and 6 cases with VSD.The size,shapes and sites of defects were visualized by echocardiography before operation,after occluders implanted,the moment just after operation,3 days after operation,one month after operation and long term following up.Results：All the patients were treated successfully.Though mitral regurgitation occurred in 1 case, tricuspid regurgitation occurred in 1 case, premature ventricular beats occurred in 1 case, aortic regurgitation 1 case, and these complications disappeared at once after the position and direction of occluders were regulated.The positions of umbrella were normal and stable and no other complications occurred.Conclusion：Echocardiography plays a very important role in transcatheter closure.