心脏彩超对房缺行封堵介入治疗的临床价值

目的分析心脏彩超对先天性心脏病继发孔型房间隔缺损行封堵术介入治疗的临床价值。方法随机选取我院行封堵术介入治疗的先天性心脏病继发孔型房间隔缺损患者128例,对其临床资料进行回顾性分析。结果术后对3天、1个月、3个月、6个月对患者行心脏彩超复查可知,128例先天性心脏病继发孔型房间隔缺损患者中,有125例患者手术均成功,成功率为97.7%。对其进行长达6个月的复查中均未出现脱落、残余血液分流现象。1例患者复查中出现封堵器脱落现象,2例患者因术前对其检测不当,术后出现轻度反流现象。结论心脏彩超对先天性心脏病继发孔型房间隔缺损诊断具有极其重要的决定性价值,可有效提高封堵术介入治疗的成功率,充分保证患者安全。

Clinical value of echocardiography for transcatheter closure of secundum atrial septal defect in patients with congenital heart disease

Objective To analyze the clinical value of echocardiography for transcatheter closure of secundum atrial septal defect （SASD） in patients with congenital heart disease （CHD）. Methods A retrospective analysis was performed on the clinical data of 128 randomly selected CHD patients who underwent transcatheter closure of SASD in our hospital. Results The echocardiographic reexaminations at 3 days and 1, 3, and 6 months after operation showed that the operation was successfully finished in 125 （97.7%） of 128 CHD patients with SASD, and occluder falling and residual blood shunting were not found in the 125 cases; among all patients, occluder falling was found in one patient, and two patients had mild blood reflux after operation because of improper examination before operation. Conclusion Echocardiography has a significant decisive value for the diagnosis of SASD in CHD patients, and it can effectively increase the success rate of transcatheter closure and fully ensure the safety of patients.