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先心病及瓣膜病的介入治疗120例分析 被引量:2

Interventional treatment in 120 patients with congenital heart disease and valvular disease
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摘要 目的:探讨介入封堵治疗先天性心脏病以及瓣膜病的治疗效果。方法:回顾性分析我院2009年11月至2010年4月间收治的120例先心病介入治疗患者的临床资料。结果:儿童组中,房间隔缺损16例,室间隔缺损12例,动脉导管未闭16例,均成功封堵,无并发症发生。少年组中,房间隔缺损12例,室间隔缺损8例,动脉导管未闭8例,均成功封堵,风心病二尖瓣狭窄8例,均穿刺成功。成人组中,房间隔缺损16例,均成功封堵,无并发症发生;室间隔缺损8例,4例成功封堵,4例封堵失败,均出现头痛并发症;动脉导管未闭12例,均成功封堵;肺动脉瓣狭窄4例穿刺成功。全部120例患者中,4例出现并发症(3.3%),总有效率96.7%。结论:介入封堵术治疗先天性心脏病,手术成功率高,创伤小,并发症发病率低,临床效果显著。 Objective:To explore the therapeutic effect of interventional transcatheter closure on congenital heart disease and valvular disease.Methods:Clinical data of 120 patients with congenital heart disease and valvular disease undergoing interventional transcatheter closure in our hospital from November 2009 to April 2010 were retrospectively analyzed.Results:In children group,there were 16 cases with atrial septal defect(ASD),12 cases with ventricular septal defect(VSD) and 16 cases with patent ductus arteriosus(PDA),all cases were successfully blocked without complications.In juvenile group,there were 12 ASD cases,eight VSD cases,eight PDA cases and they were all successfully blocked,another eight cases with rheumatic mitral stenosis were all successfully punctured.In adult group,16 ASD cases were successfully blocked without complications;there were 8 VSD cases,among which four cases succeeded and four cases failed in closure and four failed cases occured complication of headache;a total of 12 PDA cases were successfully blocked and four cases with pulmonary valve stenosis were succeeded in puncture.Among the whole 120 patients,complications occurred in four cases(96.7%).Conclusion:Interventional transcatheter closure for congenital heart disease possesses high successful ratio,few trauma,low incidence rate of complications and clinical effects are obvious.
出处 《心血管康复医学杂志》 CAS 2011年第4期371-373,共3页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 心脏缺损 先天性 心脏瓣膜病 治疗结果 Heart defects congenital Heart valve diseases Treatment outcome
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