摘要
目的：研究观察经导管介入治疗先天性心脏复合畸形的临床疗效，以期为治疗该病提供有利依据。方法：选取2011年3月~2013年3月期间在我院住院治疗的先天性心脏复合畸形患者23例，其中包括2例患者为先天性主动脉缩窄合并动脉导管未闭（patentductusarteriosus，PDA），3例房间隔缺损（atrialseptaldefect，ASD）合并肺动脉瓣狭窄（pulmonarystenosis，PS），4例ASD合并PDA，6例VSD合并ASD，8例VSD合并PDA，按照“先复杂后简单，先难后易”的原则根据患者的实际情况采用相应的治疗方法。结果：本组23例患者中除2例患者因缺损过大而放弃封堵外，其余21例患者经导管介入治疗后均痊愈出院，显效率为91．30％。结论：严格掌握先天性心脏复合畸形的介入治疗适应证，选择正常的操作方法与顺序，遵循适当的手术方案，可以通过介入治疗一次性根治。
Objective： Observation of the clinical efficacy of transcatheter interventional therapy for combined congenital heart defects, so as to provide a favorable basis for treatment of this disease. Methods： from 2011 March to 2013 March in our hospital for combined congenital heart malformation in 23 cases, including 2 cases of congenital coarctation of the aorta with patent ductus arteriosus （ patent ductus arteriosus, PDA）, 3 cases of atrial septal defect （atrial septal defect, ASD） with pulmonary artery valve stenosis （pulmonary ste- nosis, PS）, 4 cases of ASD complicated with PDA, 6 cases of VSD combined with ASD, 8 cases of VSD with PDA, in accordance with the ＂first easy, simple to complex＂ principle according to the actual situation of patients with different therapeutic methods. Results： 23 patients, except 2 patients with defect is too large and give up the closure of transcatheter intervention, the other 21 patients were cured, markedly effective rate was 91.30%. Conclusions： the indications of interventional treatment combined congenital heart diseases mas- tered strictly, selection and sequential operation method for normal operation, follow the right, through the intervention effect a radical cure.
出处
《中国伤残医学》
2014年第7期7-8,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
心脏导管插入术
先天性
心脏畸形
Interventional therapy
Heart catheterization
Congenital
