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超声评价继发孔型房间隔缺损封堵治疗后心功能变化的价值

Evaluated Transcatheter Closure Effectiveness of Secundum Atrial Septal Defect by Echocardiogram
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摘要 目的:探讨经胸超声心动图(TTE)在继发孔型房间隔缺损(ASD)介入封堵治疗前后评价心脏结构及心脏收缩功能变化的价值。方法:选取2012年1-12月在我院成功行介入封堵术,并定期随诊的继发孔型ASD患者47例,分别在术前7d,术后3d、1个月、3个月、6个月、12个月进行TTE检查,观察右房左右径(RAD)、右室左右径(RVDd)、右心室长轴缩短分数(RVLFS)、三尖瓣环收缩期位移(TAPSE)、主肺动脉内径(PAD)、左房前后径(LAD)、左室前后径(LVDd);左室射血分数(EF)、短轴缩短分数(FS)、每搏量(SV)的动态改变。结果:与术前比较,术后1、3、6个月RAD、RVDd、PAD逐渐减小,LAD、LVDd、TAPSE、SV、EF、FS、RVLFS逐渐增加,恢复正常大小,以术后1个月及3个月变化较为明显。术后6个月、12个月复查各项指标,无明显变化,趋于稳定。结论:继发孔型房间隔缺损应用TTE介入封堵治疗,创伤小、恢复快,效果确切。对于ASD介入封堵治疗术前病例筛选、术中实时监视、术后定期随访以及封堵治疗后心脏结构及收缩功能的改善状况提供可靠依据。 Objective: To investigate the value of transthoracic echocardiography (TTE) in atrial septal defect (ASD) interventional closure therapy before and after to evaluate changes of cardiac structure and cardiac systolic function. Methods: 47 cases of patients with secundum ASD from 2012 January to December in our hospital underwent successful transcatheter closure, and regular follow-up. Respectively in the 7 days before operation and after operation 3 days, 1, 3,6 and 12 months examination TTE, dynamic changes in right atrial diameter (RAD), right ventricular diastolic diameter (RVDd), right ventricular longitudinal fractional shortening (RVLFS), tricuspid annular plane systolic excursion (TAPSE), main pulmonary artery diameter (PAD), left atrial diameter (LAD), left ventricular diastolic diameter (LVDd); left ventricular ejection fraction (EF), fractional shortening (FS), stroke volume (SV) were observed. Re- sults: compared with the preoperative, postoperative 1,3, 6 months of RAD, RVDd, PAD decreased, LAD, LVDd, TAPSE,SV, EF, FS, RVLFS increased and recovered to normal size, postoperoitive 1, 3 months change obviously. Postoperoitive 6,12 months to review the indicators, no obvious changes, stabilized. Conclusion: The TTE in Transcatheter closure of secondary atrial septal defect has a definite effect and it has a small trauma for quickly recovered. Preoperative screening, intraoperative ultrasonic monitoring and postoperative follow-up on a regular basis for transcatheter closure of secondary ASD provide a reliable basis to detect cardiac structure and systolic function.
出处 《医学理论与实践》 2015年第3期287-289,共3页 The Journal of Medical Theory and Practice
关键词 房间隔缺损 超声心动描记术 介入封堵 心室收缩功能 Atrial septal defect, Echocardiography, Transcatheter closure, Ventricular systolic function
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