| 食管超声引导下经胸微创封堵术治疗小儿室间隔缺损的临床疗效及预后分析 |
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| 引用本文： | 杜朝峻,丁力,李红昕,郭文斌,吴鹏鹏,马佳佳. 食管超声引导下经胸微创封堵术治疗小儿室间隔缺损的临床疗效及预后分析[J]. 蚌埠医学院学报, 2021, 46(5): 645-648. DOI: 10.13898/j.cnki.issn.1000-2200.2021.05.022 |
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| 作者姓名： | 杜朝峻 丁力 李红昕 郭文斌 吴鹏鹏 马佳佳 |
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| 作者单位： | 1.安徽省儿童医院 心胸外科, 安徽 合肥 2300512.山东省立医院 心胸外科, 山东 济南 2500003.山东省立医院 超声科, 山东 济南 250000 |
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| 摘 要： | 目的:比较食管超声引导下经胸微创封堵术与传统修补术在治疗小儿室间隔缺损上的临床疗效.方法:选择接受传统开胸修补术的89例室间隔缺损患儿与接受食管超声引导下经胸微创封堵术的85例室间隔缺损患儿作为研究对象,分别设为对照组和观察组,比较2组患儿手术情况、术后炎症因子指标、术后并发症发生情况、术后恢复时间及心功能指标.结果:...
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| 关 键 词： | 室间隔缺损 儿童 经胸微创封堵术 食管超声 |
| 收稿时间： | 2020-04-10 |
Study on the clinical effects and prognosis of minimally invasive transthoracic occlusion guided by esophageal ultrasound in the treatment of ventricular septal defect in children |
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| DU Chao-jun,DING Li,LI Hong-xin,GUO Wen-bin,WU Peng-peng,MA Jia-jia. Study on the clinical effects and prognosis of minimally invasive transthoracic occlusion guided by esophageal ultrasound in the treatment of ventricular septal defect in children[J]. Journal of Bengbu Medical College, 2021, 46(5): 645-648. DOI: 10.13898/j.cnki.issn.1000-2200.2021.05.022 |
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| Authors: | DU Chao-jun DING Li LI Hong-xin GUO Wen-bin WU Peng-peng MA Jia-jia |
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| Affiliation: | 1.Department of Cardiothoracic Surgery, Anhui Children's Hospital, Hefei Anhui 2300512.Department of Cardiothoracic Surgery, Shandong Provincial Hospital, Jinan Shandong 250000, China3.Department of Ultrasound, Shandong Provincial Hospital, Jinan Shandong 250000, China |
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| Abstract: | ObjectiveTo compare the clinical effects between minimally invasive transthoracic occlusion guided by esophageal ultrasound and conventional repair in the treatment of ventricular septal defect(VSD) in children.MethodsEighty-nine VSD children treated with traditional thoracotomy repair and 85 VSD children treated with minimally invasive transthoracic occlusion guided by esophageal ultrasound were divided into the control group and observation group, respectively.The surgical situation, postoperative inflammatory factors, postoperative complications, postoperative recovery time and cardiac function indexes were compared between two groups.ResultsThe operation time in observation group was shorter than that in control group(P < 0.01), and the intraoperative blood transfusion amount in observation group(0 mL) was less than that in control group[(407.87±95.89)mL](P < 0.01).On the postoperative 1 to 3 days, the C-reactive protein level and leukocyte count in observation group were lower than those in control group(P < 0.01).The difference of the total incidence rate of postoperative complication between two groups was not statistically significant(P>0.05).The intubation time and hospital stay in observation group were shorter than those in control group(P < 0.01).After operation, the levels of LVEF, LVEDD and LVESD in two groups were significantly improved compared with those before operation(P < 0.01).After operation, the level of LVEF in observation group was higher than that in control group, and the levels of LVEDD and LVESD in observation group were lower than those in control group(P < 0.01).ConclusionsThe minimally invasive transthoracic occlusion guided by esophageal ultrasound in treating VSD of children can significantly shorten the operation time and reduce intraoperative blood transfusion amount.It is beneficial to reduce postoperative inflammatory reaction, reduce the risk of postoperative complications, accelerate the progress of postoperative rehabilitation and improve cardiac function. |
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