体表超声心动图引导下经胸微创封堵术治疗房间隔缺损的临床效果分析

Abstract
Figure/Table
References (15)
Related Citation (1)

Download: PDF (0 KB) HTML (27 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo investigate the difference of clinical effect of transthoracic minimally-invasive closure and thoracoscopic repair in the treatment of atrial septal defect(ASD)under the guidance of transthoracic echocardiography(TTE)so as to analyze the advantages and disadvantages of two surgeries and discuss the best choice.MethodsNinety patients with ASD who underwent minimally invasive surgery in our hospital from July 2011 to January 2017 were selected and divided into control group and observation group according to the operation mode,with 45 cases in each group.The observation group was treated with transthoracic minimally invasive occlusion guided by body surface TTE,and the control group was treated with video-assisted thoracoscopic repair.The therapeutic effects of the two groups were compared.Altogether There was no significant difference between the two groups(P＞0.05).The operation time,ICU stay time,ventilator use time and hospital stay were significantly shorter in the observation group than those in the control group(P＜0.05).The size of surgical incision in the observation group was significantly smaller than that in the control group (P＜0.05).The total cost of hospitalization in the observation group was lower than that in the control group(P＜0.05).The amount of intraoperative bleeding,postoperative thoracic drainage and total blood transfusion in the observation group were lower than that in the control group (P＜0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P＞0.05).ResultsThere was no significant difference between the two groups(P＞0.05).The operation time,ICU stay time,ventilator use time and hospital stay were significantly shorter in the observation group than those in the control group(P＜0.05).The size of surgical incision in the observation group was significantly smaller than that in the control group (P＜0.05).The total cost of hospitalization in the observation group was lower than that in the control group(P＜0.05).The amount of intraoperative bleeding,postoperative thoracic drainage and total blood transfusion in the observation group were lower than that in the control group (P＜0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P＞0.05).ConclusionBoth the two surgeries are safe and effective methods for the treatment of ASD.But the TTE-guided minimally-invasive ASD closure has the features of less trauma,simple operation and significant clinical effect without extracorporeal circulation,which can be applied in the grass-roots units.

Key words： Surgicalclosure Thoracoscopy Congenital atrial septal defect Echocardiographic guidance

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CAO Xi-ying LI
	Zhang-hong
	LI Shu-lin
	LUO Zhi-fang
	XIONG Jian-xian

Cite this article:

CAO Xi-ying LI,Zhang-hong,LI Shu-lin, et al. Clinical effect of transthoracic minimally invasive transcatheter closure of atrial septal defect guided by body surface echocardiography[J]. 中国当代医药, 2018, 25(4): 47-49转53.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I4/47

[1]	Zhu P，Sun Y，Yang Q，et al.Intraoperative device closure of atrial septal defects with minimal transthoracic invasion：a single-center experience[J].Texas Heart Institute Journal，2013，40（3）：256-260.
[2]	李才，田作春，朱勇德，等.127例经胸微创房间隔缺损封堵术的临床应用研究[J].重庆医学，2015，44（30）：4267-4269.
[3]	Chitwood WR，Rodriguez E，Chu MW，et al.Robotic mitral valve repairs in 300 patients：A single-center experience[J].J Thorac Cardiovasc Sury，2008， 136（2）：436-441.
[4]	宋振江，李晓峰，柏松，等.先心病房间隔缺损介入治疗前后心功能对照研究[J].中国医药导报，2015，12（29）：55-58.
[5]	王春凤，曹剑锋，辛鸿飞.实时三维超声心动图在房间隔缺损介入封堵术中的应用[J].中国中西医结合影像学杂志，2013，11（1）：153-155.
[6]	朱晓东，张宝仁.心脏外科学[M].北京：人民卫生出版社，2007：398-410.
[7]	崔政，宋兵.非体外循环经胸微创封堵术治疗房间隔缺损的临床应用[J].中国当代医药，2013，20（33）：17-19.
[8]	唐红，张尔永，解俊敏，等.食管超声心动图监测下经胸微创房间隔缺损封堵术[J].中国胸心血管外科临床杂志，2006，（5）：349-351.
[9]	全丽娟，金惠红，朱文军.三维食管超声心动图在经胸小切口房间隔缺损封堵术中的应用[J].心脑血管病防治，2014，14（3）：204-206.
[10]	李春平，韩涛.经胸超声心动图引导下经皮房间隔缺损封堵术 35 例临床分析[J].中外医学研究，2017，26（10）：20-21.
[11]	Teo KS，Disney PJ，Dundon BK，et al.Assessment of atrial septaldefects in adults comparing cardiovascular magnetic resonance with transoesophageal echocardiography[J].J Cardiovasc Magn Reson，2010，12（1）：44.
[12]	张泽伟.先天性心脏病的外科治疗进展[J].中国医师杂志，2014，16（9）：1009-1011.
[13]	孙晓宁，赵强，陈安清，等.右胸小切口封堵缺乏边缘的Ⅱ孔型房间隔缺损[J].中华胸心血管外科杂志，2009，25（2）：93－95.
[14]	Walther T，Binner C，Rastan A，et al.Surgical atrial septal defect closure after interventional occluder placement：incidence and outcome[J].J Thorac Cardiovasc Surg，2007，134（3）：731-737.
[15]	邢泉生.先天性心脏病经胸微创封堵术[M].北京：人民卫生出版社，2014：169-174.