摘要
目的 探讨经胸超声心动图（TIE）及实时三维超声心动图在房间隔缺损（ASD）、室间隔缺损（VSD）封堵术中的临床应用价值。方法应用二维及三维超声心动图对2004—10—-2005—10在天津市儿童医院就诊的24例继发孔ASD，10例VSD进行术前检查筛选，术中超声引导及术后随访检查。结果24例ASD患儿术前经TIE检测ASD直径（15．6±7．9）mm（5—26mm），所选Mmplatzer封堵器直径为（19．1±5．1）mm（5—32mm），23例封堵成功。室间隔膜部缺损直径：左室面缺损为5—9mm，右室侧口的直径为2．4—6．0mm，术中选择Amplatzer封堵器型号为4～6mm，10例VSD无残余分流。结论二维及三维TTE联合应用于ASD、VSD介入治疗具有很好的应用价值。
Objective To evaluate the applied values of 2-dimensional echocardiography（2-DE） and real-time three-dimensional echocardiography （ RT3 DE ） in closing atrial septal defects （ ASD ） and ventricular septal defects （ VSD ） with the Amplatzer devices. Methods Twenty-four cases of secundum atrial defects（ASD） the ten case of ventricular septal defects（ VSD ） patients were studied by two-dimensional teansthoracic eehocardiography and RT-3DE, Results In 24 cases examined with trans-thoracic echocardiography （TTE） , ASD mean diameter was （ 15.6 ± 7.9）mm（5 -26mm） ,The diameters of these devices were （ 19.1 ± 5.1 ）mm（ 5 - 32mm）. The device were successfully implanted in 23 cases. Size of VSD at the side of left ventricle （ LV ） from 5mm to 9mm,Size of VSD at the side of right ventricle （ RV ） from 2.4mm to 6mm. The diameters of these devices were 4mm to 6mm. The ten case of ventricular septal defects （ VSD） patients no residual shunt was found. Conclusion Two-dimensional transthoracic echocardiography and RT-3DE acts as a important role in successful opration and evaluating the short-term and long-term therapeutic effectiveness,
出处
《中国实用儿科杂志》
CSCD
北大核心
2006年第8期611-612,共2页
Chinese Journal of Practical Pediatrics
