经食道超声引导下不同路径微创封堵术治疗房间隔缺损的研究

Treatment of Atrial Septal Defects by Minimally Invasive Closure of Different Paths under the Guidance of Transesophageal Ultrasound Clinical Controlled Study

探讨经食道超声引导下不同路径微创封堵术治疗房间隔缺损的效果。以80例房间隔缺损(ASD)患者为研究对象,根据治疗方法分为观察组(经皮组)和对照组(右胸组)。经食道超声引导下,观察组采用经皮封堵术,对照组采用经右胸封堵术,对比两组患者术前、术后相关指标的变化情况。结果发现:观察组右心房横径、右心室横径、肺动脉直径、三尖瓣反流面积低于对照组,差异有统计学意义(P<0.05);术后,观察组术后切口长度、手术时间、住ICU时间、VAS评分低于对照组(P<0.05);观察组较对照组LVSD降低、LVEF、6 min步行距离升高(P<0.05)。经食道超声引导下经皮封堵术治疗ASD疗效较好,手术创伤小,安全性高。

The effect of minimally invasive closure of atrial septal defect through different paths under the guidance of transesophageal ultrasound were investigated. A total of 80 patients with atrial septal defect(ASD) were divided into observation group(percutaneous group) and control group(right chest group) according to the treatment method. Under the guidance of transesophageal ultrasound, percutaneous closure was used in the observation group and right thoracic closure was used in the control group. The changes of relevant indexes before and after operation were compared between the two groups. The results showed that the right atrial transverse diameter, right ventricular transverse diameter, pulmonary artery diameter and tricuspid regurgitation area in the study group were significantly lower than those in the control group(P<0.05). After operation, the incision length, operation time, ICU stay and VAS score in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05). Compared with the control group, LVSD decreased, LVEF and 6 min walking distance increased in the study group(P<0.05). Transesophageal ultrasound-guided percutaneous closure in the treatment of ASD has good curative effect, less trauma and high safety.