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经皮导管介入治疗小儿动脉导管未闭2例分析
引用本文:杨林海,陈瑞,李亚蕊,关晓力,程燕生,张宏,侯金婷,米艳萍. 经皮导管介入治疗小儿动脉导管未闭2例分析[J]. 实用口腔医学杂志, 2004, 33(6): 465-466
作者姓名:杨林海  陈瑞  李亚蕊  关晓力  程燕生  张宏  侯金婷  米艳萍
作者单位:山西省儿童医院 (030013)(杨林海,陈瑞,李亚蕊,关晓力,程燕生,张宏,侯金婷),山西省儿童医院 (030013)(米艳萍)
基金项目:山西省留学回国人员科研基金资助项目(2 0 0 3- 80 )
摘    要:目的 应用导管介入性治疗小儿动脉导管未闭 (PDA)并对其近期疗效进行初步评价。方法  2例 PDA患儿均采用 Amplatzer蘑菇伞法 ,在透视下经 6 F输送器置入 PDA蘑菇伞封堵器 ,术中造影显示 1例PDA蘑菇伞呈管型 ,3.9m m× 7.7m m ,另 1例呈漏斗型 ,18m m× 9.4 mm ,分别选择 14 /12 mm和 16 /14m m PDA蘑菇伞封堵器 ,术后 10 min主动脉弓降部造影 ,4 8h及 3个月、0 .5 a分别行超声心动图 (UCG)检查评价疗效。结果  2例均一次性放置 PDA蘑菇伞封堵器成功 ,术后随访 0 .5 a,U CG检查动脉水平分流完全消失。结论 应用导管介入治疗小儿 PDA是有效的非手术治疗方法 ,近期疗效满意。

关 键 词:介入治疗  动脉导管未闭  儿童
修稿时间:2004-03-09

Interventional therapy through cardiac catheter in two child cases with patent ductus arteriosus
Abstract:Objective To evaluate the short-term effects of interventional therapy through cardiac catheter in children with patent ductus arteriosus (PDA).Methods Amplatzer devices were set in 2 cases of children with PDA under supervision of the fluoroscopy.One case of tubular type (3.9 mm×7.7 mm) received the devioe of 14/12 mm size,and another case of funnel-shape (18 mm×9.4 mm) received that of 16/14 mm size.The contrast examination of aortic arch descendents was carried out.Ultrasonic cardiographic (UCG) examination was done 48 hours,3 months and 6 months later respectively.Results 2 cases successfully had their Amplatzer devices set well in one step,and the arterial horizontal shunt completely disappeared in the follow-up UCG examination 6 months later.Conclusion Interventional therapy through cardiac catheter is an effective non-operative method for children′s patent ductus arteriosus,with a satisfying near-term result.
Keywords:Interventional therapy  Patent dutus arteriosis (PDA)  Children
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