摘要
目的:探讨房间隔膨出瘤(IASA)合并畸形的诊断特征及治疗适应证。方法:32例IASA合并畸形的住院患者及20例孤立性IASA门诊随诊患者,经心电图(ECG)、胸片、体表超声(TTE)、食道超声(TEE)及心导管检查,选择外科开胸,内科介入及门诊随诊观察的IASA患者。结果:32例IASA合并畸形的住院患者,16例(50%)合并畸形行外科开胸手术治疗,其中7例合并多发性房间隔缺损(ASD)。16例(50%)IASA合并ASD行内科介入治疗,其中6例为多发性ASD。结论:IASA合并畸形最常见的为ASD,而ASD中多发性ASD较为常见,通过TTE及TEE准确诊断,选择内、外治疗适应证。
Objective： To explore the characteristics of interatrial septal aneurysm （IASA） complicated with anomalies and its treatment. Methods： Thirty-two inpatients with IASA and complicated with anomalies and 20 outpatients with isolated IASA were identified in our department. In 20 outpatients （4 male, 16 female） with isolated IASA, 8 patients accompanies with patent foramen ovale （PFO）, ages ranged from 3.5-54 years old, with an average of 36.38-15.15. In 32 inpatients （8 male, 24 female） with IASA complicated with anomalies, ages ranged from 3 months to 61 years old, with an average of 31.88-18.28. Length of IASA, height of IASA, diameter of right ventricle, and cardiac function tests of the left ventricle were evaluated by electrocardiogram, X-ray, transthoracic echocardiography（TTE）, transesophageal echocardiography（TEE）. The patients with IASA and complicated with anomalies underwent catheterization and interventional therapy or surgery. Results： In 32 patients with IASA and complicated with anomalies, 16 patients （50%） underwent surgery and 16 had interventional therapy. Multiple atrial septal defects （ASDs） were found, 7 patients underwent surgery and 6 underwent interventional therapy. Conclusion： The commonest anomalies complicated with IASA are ASDs, which are often multiple. TFE and TEE are the key methods to select patients for interventional therapy or surgical treatment.
出处
《中国临床医学影像杂志》
CAS
北大核心
2010年第7期469-472,共4页
Journal of China Clinic Medical Imaging
关键词
心脏病
房间隔缺损
超声检查
心电描记术
Heart diseases
Heart septal defects, atrial
Uhrasonography
Electrocardiography
