摘要
目的探讨动脉导管未闭微创治疗的个体化方案和治疗效果。方法对收治的55例动脉导管未闭患者经超声及放射造影检查,对动脉导管的直径、长度和形态作出评估,并针对不同特点选择个体化方案,进行介入封堵、腋下小切口或胸膜外结扎等微创治疗。结果55例患者全部治愈。1例出现声音嘶哑,其余患者术后随访1年未发生导管再通等明显并发症。结论动脉导管未闭微创治疗有介入封堵和腋下小切口手术等不同方式,而介入治疗创伤更小、风险更小、术后恢复更快,但是,一些直径较粗的或特殊类型的动脉导管未闭仍需手术治疗。因此,个体化微创治疗能使两者优势互补,使治疗更加安全有效。
Objective To discuss the individual minimally invasive treatment of patent ductus arteriosus and the curative effect. Methods Ultrasonic examination and angiography were made to 55 cases with patent ductus arteriosus, the diameter of ductus arteriosus, the length and shape were measured; individual minimally invasive treatment was selected according to the individual characteristics, such as transcatheter closure, subaxillary small incision or extrapleural ligation. Results all the 55 cases healed, hoarse voice was found in 1 case and the one - year follow - up showed no obvious complications such as recanalization occurred in the other patients. Conclusions There exists different minimally invasive treatments for patent ductus arteriosus t and tran- scatheter closure is of such advantages as less wound, low risk and quicker healing while surgical treatment for patent ductus arteriosus should be given to those patients with bigger diameters or special types ; thus, individual minimally invasive treatment provides ascendancy complementation and makes the treatment safer and more effective.
出处
《西南军医》
2009年第1期37-38,共2页
Journal of Military Surgeon in Southwest China
关键词
动脉导管未闭
介入封堵
腋下小切口
patent duetus arteriosus transcatheter closure subaxiUary small incision
