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食管超声在经胸微创继发孔房间隔缺损封堵术中的应用
引用本文:陆静,吴卫华,励峰,马兰,魏松霞,黄艳.食管超声在经胸微创继发孔房间隔缺损封堵术中的应用[J].中国介入影像与治疗学,2009,6(3):211-214.
作者姓名:陆静  吴卫华  励峰  马兰  魏松霞  黄艳
作者单位:1. 上海市胸科医院超声科,上海,200030
2. 上海市胸科医院心脏外科,上海,200030
摘    要:目的报告经食管超声心动图(TEE)用于58例经胸微创治疗继发孔房间隔缺损(ASD)封堵术的结果。方法术前经胸超声心动图(TTE)初步筛选58例继发孔型ASD患者,观察ASD大小及各残缘,并在术中指导封堵过程,术后评价封堵效果。结果封堵术后随访一个月后,54例完全闭合房间隔;2例残留少量房水平分流;2例封堵失败,行体外循环下修补术。手术并发症1例,无TEE相关并发症。结论TEE可在术前修正TTE诊断,并在选择封堵器、术中全程引导及术后疗效的即刻判断等方面起重要作用。

关 键 词:经食管超声心动图  继发孔房间隔缺损  微创封堵
收稿时间:2008/11/9 0:00:00
修稿时间:2008/12/30 0:00:00

Transoesophageal echocardiography in the occlusion of secondary atrial septal defect through minimally invasive surgery
LU Jing,WU Wei-hu,LI Feng,MA Lan,WEI Song-xia and HUANG Yan.Transoesophageal echocardiography in the occlusion of secondary atrial septal defect through minimally invasive surgery[J].Chinese Journal of Interventional Imaging and Therapy,2009,6(3):211-214.
Authors:LU Jing  WU Wei-hu  LI Feng  MA Lan  WEI Song-xia and HUANG Yan
Institution:1.Department of Ultrasound;2.Department of Cardiac Surgery;Shanghai Chest Hospital;Shanghai 200030;China
Abstract:Objective To summarize the experience of transoesophageal echocardiography(TEE)in the occlusion of secendary atrial septal defect(ASD)through minimally invasive surgery.Methods Fifty-eight ASD patients underwent transthoracic echocardiography(TTE)before operation for the initial selection.TEE was performed for observing ASD size and margins just after anesthesia,guiding the whole process of occlusion and evaluating the effect immediately after operation.Results Atrial septum was completely closed in 54 case...
Keywords:Transoesophageal echocardiography  Secendary atrial septal defect  Minimally invasive occlusion  
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