超声心动图在室间隔缺损封堵术中的应用评价

The evaluation of echocardiogram in percutaneous closure of ventricular septal defect

目的:评价超声心动图在室间隔缺损(ventricular septal defects,VSD)封堵术中的作用。方法:超声心动仪检查对150例VSD患者术前VSD的位置、大小、破裂孔的数目及和周边瓣的关系,术中指导封堵器的释放,术后随访观察。结果:118例封堵成功。封堵器置入后即刻听诊,杂音消失或减轻,超声检查无残余分流,主动脉瓣和三尖瓣无返流,再经心血管造影证实无残余分流,主动脉瓣无返流。结论:超声心动图在VSD封堵术中操作简便、安全、经济,对术前检查定位、术中监视和术后随访起到重要作用。

Objective ：To evaluate the function of the echocardiogram in percutaneous closure of ventricular septal defects （VSD）. Methods：The echocardiography was performed strictly for selection of patients, monitored the sites, shapes of occluder, whether there＇s any residual shunt, aortic valvular and atrioventricular valvular regurgitations and the process of the occlusion. The echocardiography data after operation was reviewed. Results：In 150 cases, 118 cases got successful closure. Right position of occluder and neither residual shunt nor other complications were observed d.uring the follow-up. Conclusions： The echocardiography is a very facilitated, reliable, repetitive follow-up mearsure with high clinical application value in the interventional treatment of ventricular septal defect.