导管介入治疗先天性心脏病的疗效分析

目的探讨经导管介入治疗先天性心脏病的临床疗效。方法回顾性分析先天性心脏病患儿66例的临床资料,所有患者均采用导管介入治疗。术后3 d、1个月、3个月和1年随访体检结果、超声心动图结果以及心电图结果。结果平均手术时间（112±38）min,平均曝光时间（28.9±9.4）min,平均住院时间（7.0±2.1）d。无严重并发症发生,无死亡病例。ASD患儿封堵后最大右心室压力术后随访显著低于术前（P〈0.01）,PAD患儿封堵后左房内径、舒张期左心室内径、收缩期左心室内径均较术前显著下降（P〈0.01）。结论导管介入治疗ASD、PAD等先天性心脏病具有创伤小、恢复快、疗效确切、安全性高等优点。

Efficacy of catheter interventional treatment of congenital heart disease

Objective To discuss efficacy of catheter interventional treatment of congenital heart disease. Methods Clinical data of 66 cases with congenital heart disease were retrospectively analyzed.All patients were treated with catheter interventional treatment. Postoperative 3 d, 1 month, 3 months and 1 year, examination results, echocardiographic findings and ECG results were followed up. Results The mean operative time was（112±38）min, the mean exposure time was（28.9±9.4）min, and the average length of stay was（7.0±2.1）d, no deaths. Children with ASD the maximum pressure of the right ventricle after surgery was significantly lower than before surgery（P〈0.01）. Children with PAD left atrial diameter, left ventricular diastolic diameter, and left ventricular systolic internal diameter after surgery were significantly lower than before surgery（P〈0.01）. Conclusion Catheter interventional treatment for ASD,PAD and other congenital heart disease shows less trauma, quicker recovery, sure efficacy, safe and so on.