摘要
目的探讨室间隔缺损(VSD)封堵术并发症发生的原因,并探讨相应治疗。方法采用封堵术治疗VSD患儿50例,与采用外科手术治疗105例比较术中、术后各项手术并发症的发生率。两组率的比较采用卡方检验。结果封堵组术中及术后出现左前分支或完全性左束支阻滞较多见(P<0.05),其他并发症包括再次外科手术、术后残余分流、术中出血多、神经受损、溶血、术中或术后Ⅲ度房室传导阻滞、气胸、胸腔积液、心包积液、主动脉瓣关闭不全及术后感染两组比较无统计学差异(P>0.05)。结论与外科手术比较,采用介入封堵术治疗VSD安全、创伤小。
Objective To assess the complications of transcatheter closure of ventricular septal defect(VSD) in children and discuss the treatment experience.Methods Fifty cases of children in transcatheter closure of VSD compare the rate of complications in or after the operation with 105 cases in surgery. The chi-square test is used in the comparison of the rate of the complications between the two groups.Results Left anterior bundle branch block and complete left bundle branch block in or after the closure occur more often in the group of the closure. There were no significant difference between the two groups in the rate of complications including the second surgery, residual shunt, bleeding, nerve injury, hemolysis,Ⅲ atrioventricular block, pneumothorax, hydrothorax, hydropericardium, aortic vavle insufficiency and infection.Conclusion To Compare surgical operation,transcatheter closure of VSD is a safe and small-cut operation.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2005年第7期699-700,共2页
Journal of Applied Clinical Pediatrics
关键词
封堵术
室间隔缺损
儿童
并发症
transcatheter therapy
ventricular septal defect
children
complication
