经胸超声心动图对房间隔缺损介入治疗的影响

Effect of Transthoracic Echocardiography on Interventional Therapy of Atrial Septal Defect

目的:研究经胸彩色多普勒超声心动图在房间隔缺损(ASD)介入治疗中的临床影响。方法:选择2018年3月-2021年3月常德市第一人民医院收治的ASD患者100例展开调查。所有ASD患者均接受介入治疗,在治疗后使用经胸彩色多普勒超声心动图进行观察,分析患者的治疗效果。结果:在对100例ASD患者进行治疗后,有98例患者封堵成功,有2例患者未封堵成功。98例封堵成功患者中有4例患者在封堵器释放后,可见少量分流,在术后3个月后分流消失,其他封堵器位置正常,且无术后并发症发生。2例未封堵成功患者由于ASD上缘较软,无法支持封堵,导致封堵失败,需要采取外科修补术进行治疗。结论:在对100例ASD患者进行介入治疗后,使用经胸彩色多普勒超声心动图进行检查能够清晰了解患者治疗情况,且具有安全性高、操作简便的优势,推荐在临床上使用。

Objective:To study the clinical effect of transthoracic color Doppler echocardiography in the interventional therapy of atrial septal defect(ASD).Methods:A total of 100 ASD patients admitted to the First People's Hospital of Changde City from March 2018 to March 2021 were selected for investigation.All ASD patients received interventional therapy,and were observed by transthoracic color Doppler echocardiography after therapy to analyze the treatment effect of the patients.Results:After 100 ASD patients were treated,98 patients were successfully occluded,and 2 patients were not successfully occluded.Among the 98 patients with successful occlusion,a small amount of shunt was seen in 4 cases after the occluder was released,and the shunt disappeared at 3 months after the operation.The positions of the other occluders were normal,and no postoperative complications occurred.In 2 patients who were not successfully occluded,as the upper edge of ASD was soft and could not support occlusion,the failure of occlusion occurred and required surgical repair.Conclusion:After interventional therapy in 100 patients with ASD,the use of transthoracic color Doppler echocardiography can clearly understand the treatment status of the patients,and has the advantages of high safety and simple operation,and is recommended for clinical use.