先天性心脏病的介入治疗疗效研究

Study on the curative effect of interventional therapy of congenital heart disease

目的研究先天性心脏病的介入治疗的疗效。方法选择54例先天性心脏病患者，动脉导管未闭（PDA）21例，房间隔缺损（ASD）8例，室间隔缺损（VSD）25例，研究3类患者施行介入治疗的疗效。研究术后心脏杂音、术后溶血、术后房室分离及封堵的成功率。结果54例先天性心脏病患者术后即刻听诊心脏杂音消失，未见残余分流，未见溶血。2例封堵失败。封堵成功率为96．3％。其中4例膜部VSD和1例ASD患者术后出现加速性交界性心动过速伴干扰性房室分离，治疗后好转。结论先心病介入治疗有诸多优点，值得推广并发展。

Objectiv e To study the curative effect of interventional therapy of congenital heart disease. Methods Fifty - four patients with congenital heart disease, 21 cases of patent ductus arteriosus （PDA） ,8 cases of atrial septal defect（ASD） ,25 cases of ventricular septal defect （VSD）, the curative effects of interventional therapy of congenital heart disease with three class of patients. The success rate of heart murmur, hemolysis, atrioventricular dissociation and plugging after operation were studied. Results Immediate auscultation heart murmur of 54 patients with congenital heart disease disappeared after operation, the residual tap and the hemolysis were not seen, 2 cases plugging failure, so the plugging success rate was 96. 3%. Four cases of membranous septum VSD and 1 case of ASD patient appeared acceleration of the border tachycardia with interfering atrioventricular dissociation after operation and were improved after treatment. Conclusions Interventional therapy of congenital heart disease have many advantages, worth popularization and development.