摘要
目的探讨外科手术与介入两种方法治疗冠状动脉瘘的疗效。方法回顾性分析25例冠状动脉瘘患者的临床资料，外科手术治疗7例，介入治疗18例。结果7例外科手术治疗患者中6例术后复查心脏彩超无残余分流，1例术中发现冠状动脉瘤，冠状动脉与右心室间有多发瘘口，切开冠状动脉瘤，自冠状动脉瘤体内修补瘘口，术后复查心脏彩超有残余分流。18例介入治疗患者中12例术后高选择性冠状动脉造影及心脏彩超检查无残余分流，2例有残余分流，4例因冠状动脉迂曲致建立轨道困难，未能行介入治疗。结论冠状动脉瘘外科手术与介入治疗均安全、有效，应依据具体情况决定使用不同方法。
Objective To discuss the effect of surgical procedure and interventional procedure on coronary arterial fistula. Methods The clinical data of 25 cases of coronary arterial fistula were retrospectively analyzed. Seven cases received surgical procedures,18 cases received interventional procedures. Results Of the 7 cases with surgical procedures, coronary arterial fistula shunt disappeared in 6 cases after review of echocardiography, coronary arterial aneurysms was found in 1 case who had limited residual flow. Of the 18 cases with interventional procedures, 12 cases were completely cured, 2 cases had limited residual flow, 4 cases did not succeeded. Conclusions Surgical procedures and interventional procedures on coronary arterial fistula are safe and efficient. The choice of method should be based on the specific situation.
出处
《中国医师进修杂志》
2012年第29期9-11,共3页
Chinese Journal of Postgraduates of Medicine
关键词
外科手术
介入治疗
冠状动脉疾病
Surgical procedures, operative
Interventional therapy
Coronary arterial fistula
