经食管超声心动图在经胸小切口室间隔缺损封堵术中的应用价值

Application value of transesophageal echocardiography(TEE) in transthoracic occlusion via small incision for ventricular septal defect(VSD)

目的探讨经食管超声心动图（TEE）在经胸小切口室间隔缺损（VSD）封堵术中的应用价值。方法抽取本院2011年10月~2013年10月收治的48例经胸小切口VSD封堵术治疗的患者作为研究对象,将其随机分为对照组和观察组,每组各24例,其中对照组采用经胸超声心动图监测,观察组采用经食管超声心动图监测,分析和比较两组的临床治疗情况。结果观察组24例患者均封堵成功,成功率为100%,明显高于对照组的87.5%（P〈0.05）;VSD缺口大小：观察组的检查结果为（3.76±1.01）mm,与对照组的（3.94±1.07）mm比较,差异有统计学意义（P〈0.05）。结论给予经胸小切口室间隔缺损封堵术治疗的患者经食管超声心动图监测,能够进一步明确缺口大小,提高封堵成功率,具有较高的临床应用价值,值得推广。

Objective To explore the application value of transesophageal echocardiography （TEE） in transthoracic oc- clusion via small incision for ventricular septal defect （VSD）. Methods 48 patients with transthoracic occlusion via small incision for VSD were extracted as subjects from October 2011 to October 2013 in our hospital and randomly di- vided into the control group （n=24） and the observation group （n=24）,the control group was monitored with transthoracic echocardiography while the observation group was monitored with TEE.The clinical treatment of the two groups was an- alyzed and compared. Results 24 patients in the observation group were successfully occluded,the successful rate was 100%,and the successful rate of the observation group was higher than that of the control group （87.8%） （P〈0.05）;the size of VSD gap：the inspection result in the observation was （3.76±1.01）mm,while that of the control group was （3.94± 1.07）mm,and there was a statistical difference between the two groups （P〈0.05）. Conclusion TEE monitoring applied in patients with transthoracie occlusion via small incision for VSD can further define the size of the gap and improve the success rate of closure.h has higher clinical application value and it is worthy of promotion.