摘要
目的:探究食管超声引导经皮及经胸房间隔缺损封堵术对心脏重塑的临床作用。方法:选取2015年7月-2020年6月实施房间隔缺损封堵术的心脏重塑患者69例,根据治疗方式不同分为两组。观察组采用经食管超声引导下实施经皮股静脉穿刺房间隔缺损封堵术;对照组采用经食管超声引导下实施经胸小切口房间隔缺损封堵术。比较两组患者心脏彩超结果。结果:两组术后1年RAS、LVD、RVD和肺动脉收缩压水平相近,虽观察组稍优,但差异无统计学意义(P>0.05)。观察组术后1年LVD、RAS、LAS、RVD水平均显著低于治疗前,差异有统计学意义(P<0.05)。结论:在心脏重塑的临床手术中,选择食管超声引导下经皮房间隔缺损封堵术的效果更好,心脏重塑效果更明显。
Objective:To explore the clinical effect of esophageal ultrasound-guided percutaneous and transthoracic atrial septal defect closure on cardiac remodeling.Methods:From July 2015 to June 2020,69 cases of patients who underwent atrial septal defect closure were enrolled,they were divided into two groups according to the treatment methods.The observation group was treated with transesophageal ultrasound guided percutaneous femoral vein puncture of atrial septal defect closure.The control group was treated with transesophageal ultrasound guided small incision atrial septal defect closure.The results of echocardiography were compared between the two groups.Results:The levels of RAS,LVD,RVD and pulmonary artery systolic blood pressure were similar in the two groups at 1 year after surgery,although the observation group was slightly superior,the differences were not statistically significant(P>0.05).The LVD,RAS,LAS and RVD levels of the observation group were significantly lower than before treatment at 1 year after surgery,the differences were statistically significant(P<0.05).Conclusion:In the clinical operation of cardiac remodeling,the effect of percutaneous atrial septal defect closure guided by esophageal ultrasound is better and the effect of cardiac remodeling is more obvious.
作者
阳玉晶
周宏正
雷芳
蒋雅群
Yang Yujing;Zhou Hongzheng;Lei Fang;Jiang Yaqun(The Second Affiliated Hospital of Guilin Medical College,Guangxi Guilin 541000;The Affiliated Hospital of Guilin Medical College,Guangxi Guilin 541001)
出处
《中国社区医师》
2021年第16期36-37,共2页
Chinese Community Doctors
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190456)。
关键词
经胸房间隔缺损封堵术
经皮房间隔缺损封堵术
心脏重塑
Transthoracic atrial septal defect closure
Percutaneous atrial septal defect closure
Cardiac remodeling
