应用开口器结扎成人动脉导管未闭32例

Application of Mouth Gag in the Ligation of PDA in Adults

目的 评价开口器结扎成人动脉导管未闭的治疗效果。 方法 自 1990年～ 2 0 0 2应用开口器结扎成人动脉导管未闭 3 2例。 结果 本组病人术后杂音均消失 ,复查彩超示动脉导管无分流 ,远期随访无导管再通。 结论 本法结扎动脉导管未闭线结牢靠 ,并可预防结扎线切割导管 。

Objective To evaluate the therapeutic efficacy of the mouth gag used in ligation of patent ductus arteriosus (PDA) in adults. Methods The mouth gag was applied in ligation of PDA in 32 adult patients from 1990 to 2002. Results All cases were performed smoothly with the mouth gag. Their hearts'murmurs disappeared after operation. Color Echocardiography showed no residual shunt between the aorta and pulmonary artery. Long-term follow up showed no residual shunts. Conclusion The mouth gag is an effective way in the ligation of PDA.