摘要
目的探讨儿童法洛三联症的介入治疗方法,并评价其临床疗效。方法法洛三联症患儿16例;年龄3-18岁,平均7.5岁。病例均在X线及超声心动图监视下行经皮肺动脉瓣球囊扩张术(PBPV)及置入国产双盘封堵器封堵房间隔缺损(ASD)。均于术后即刻、术后6个月分别行超声心动图、心电图、X线胸片检查以评价治疗效果。结果同期介入治疗成功率100%,均无重要并发症发生,PBPV术后即刻右室收缩压由(81±26)mm Hg降至(38±12)mm Hg,跨肺动脉瓣压差由(68±24)mm Hg降至(15±13)mm Hg(P均<0.01),超声心动图测量ASD直径为3-16(10.3±8.4)mm,选择封堵器直径为8-20(12.4±8.2)mm,2例存在微-少量残余分流,14例封堵完全无残余分流。术后即刻、术后6个月超声心动图未见残余分流。结论经导管同期治疗儿童法洛三联症是一种安全有效的方法,成功率高,近期疗效可靠。
Qbjective To evaluate the efficacy and safety of interveational therapy for trilogy of fallot in children.Methods Sixteen children of trilogy of fallot were treated with the percutaneous balloon pulmonary valvuloplasty and the occluder devices through the percutaneous proeedure under fluoroscopy,angiography and transthoracic echocardiography, who were 3 to 18（7.5 ± 5.8）years old. X- ray. electrocardiogram and echoeardiography（TTE）were performed to evaluate the efficacy in them immediatdy after the procedure and at 6 months later for followup. Results All of 16 patients were treated successfully, without severe complication. After therapy, right ventricular systolic pressure decreased from （81±26） mm Hg to （38±12） mm Hg and systolic pressure gradient across the pulmonary valve decreased from （68±24） mm Hg to （15±13） mm Hg immediately（P〈 0.01）, The atrial septal defect diameter was 3 - 16（10. 3±8.4） mm by TTE, The diameter of the occluder selected was 8 - 20（12.4±8.2） mm, Slightly residual shunts were found in 2 cases while no residual shunt was found in other 14 patients. Conclusion Interventional therapy for trilogy of faUot is safe, easy and effective.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2006年第23期1619-1620,共2页
Journal of Applied Clinical Pediatrics
关键词
法洛三联症
介入治疗
儿童
trilogy of fallot
interventional therapy
child
