经胸Hybrid手术治疗房间隔缺损105例临床分析

目的总结经胸“杂交”（hybrid）手术房间隔缺损的经验和体会。方法2007-01～2012-12对105例房间隔缺损患者实施杂交手术，在经食管超声心动图监测下，右前胸2—4cm小切口进胸，经右心房置入Amplatzer房缺封堵器闭合房间隔缺损。房间隔缺损直径3—34mm。结果103例杂交手术获得成功，成功率98．1％。心内操作平均时间（17±8）min，无严重并发症发生。手术后随访9月-2年，效果良好。结论经胸Hybrid手术可适用于任何年龄的患者，成功率高，并发症少，该术式是一种简便、安全、微创的治疗房间隔缺损的手术方法，临床效果良好。

Analysis of the open-chest Hybrid procedure for 105 cases of atrial septal defects

Objective To summerize the experience of the open-chest Hybrid in treatment of patients with atrial septal defect （ASD）. Methods From January 2007 to December 2012, a total of 105 patients with ASD underwent open-chest Hybrid closure under the guidance of echocardiography. The 2-4 cm skin incision was made on the right anterior chest. The Amplatzer septal occluder was in-serted into the right atrium to make the atrial septal defect close. The diameter of ASD ranged from 3 to 34 ram. Results Of 105 ca-ses of ASD, 103 cases（98.1% ） were successfully occluded. The mean operative time was （ 17 ± 8 ）min during cardiac procedure. No serious complications happened during the procedure. After followed-up for 9 months to 2 years,all patients were living well. Conclu-sion Open-chest Hybrid closure offers a valuable complementary operative approach for patients with ASD at any age, with high suc-cessful rate and low postoperative complications. It seems to be feasible and safe.