经食道超声在经股静脉途径房间隔缺损介入封堵术中的应用价值

Application Value of Transesophageal Echocardiography in Interventional Closure of Atrial Septal Defect via Femoral Vein

目的探讨经食道超声在经股静脉途径房间隔缺损介入封堵术中的应用价值。方法回顾性分析2017年10月-2018年10月期间在宁夏医科大总院心脑血管病医院行经股静脉途径房间隔缺损介入封堵术65例患者的临床资料,根据手术方式不同将其分为超声组(35例)与传统组(30例)。比较分析两组患者的封堵器直径、手术时间、术后住院时间、封堵成功率、残余分流发生率及并发症发生情况。结果超声组与传统组封堵器直径、封堵成功率差异均无统计学意义(P均>0.05);超声组的手术时间及术后住院时间均短于传统组(P<0.05),残余分流率、并发症发生率低于传统组(P均<0.05)。两组患者均未发生封堵器移位脱落、心脏穿孔、死亡等。结论经食道超声引导下经股静脉途径房间隔介入封堵术疗效确切,手术时间短、封堵成功率高、术后恢复快、并发症发生率低,值得在临床上推广应用。

Objective To investigate the value of transesophageal ultrasound in the interventional closure of the atrial septal defect through the femoral vein.Methods A retrospective analysis of 65 patients with atrial septal defect in our hospital from October 2017 to October 2018 was performed.The clinical data were divided into ultrasound group according to different surgical methods(35 cases)and the traditional group(30 cases).The occlusion device diameter,operation time,postoperative hospital stay,success rate of closure,residual shunt rate and complications were compared between the two groups.Results There was no significant difference between the ultrasound group and the traditional group in occluder diameter and sealing success rate(P>0.05).The operation time and postoperative hospital stay of the ultrasound group were significantly shorter than that of the traditional group,and the residual shunt rate was significantly lower than the traditional group(P<0.05).The incidence of complications in the ultrasound group was significantly lower than that in the conventional group(P<0.05).There was no occluder displacement,cardiac perforation,and death in both groups.Conclusion Transesophageal ultrasound guided transsphenoidal approach for atrial septal occlusion is effective,with short operation time,high success rate of closure,rapid postoperative recovery and low complication rate.It is worthy of clinical application.