经食管超声心动图引导微创治疗室间隔缺损的临床效果观察

目的经食管超声心动图引导胸部小切口微创封堵室间隔缺损，以其创伤小、定位准确、可实时监测手术进程及不干扰手术操作的特点，在临床治疗室间隔缺中已得到广泛应用。本研究通过观察治疗后患者封堵器固定位置、有无残余漏、有无心包积液、有无心律失常及残余分流等指标，评估其治疗效果，总结治疗经验。方法采用经胸超声心动图检查筛选16例室间隔缺损病例，在术中以经食管超声心动图全程监测引导，并即刻评价封堵疗效，术后1周内经胸超声随访评价手术效果。结果16例室间隔缺损患者，均在非体外循环下封堵成功。结果16例患者封堵器位置均固定良好，无残余漏、心包积液、心律失常及残余分流出现。结论经食管超声心动图引导胸部小切口微创封堵室间隔缺损，其治疗效果确切，安全可靠。

THE CLINICAL EFFECT OF MINIMAL INVASIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY GUIDED TREATMENT FOR VENTRICULAR SEPTAL DEFECT

Objective To evaluate the clinical effect of Transesophageal echocardiography（TEE） guided minimal invasive closure in treatment of ventricular septal defect（VSD）. Methods Totally 16 cases were confirmed as VSD by TTE, they were guided by TEE in operation, and then instantly evaluated the efficacy of closure. The surgical effects were evaluated by TTE in one week after the operation. Results All of the 16 cases were successfully closed with a device. None of patients were observed with residual shunt, pericardial effusion, arrhythmia and residual shunt. Conclusion The treatment of TEE for ventricular septal defect is safe and reliable.