| 摘要: |
| 目 的 探讨经食管超声心动图技术（TEE）在经皮导管封堵治疗房间隔缺损的应用价值。
方 法 对2014年9月至2016年9月在我院术前经胸超声心动图（TTE）初筛符合封堵条件的房间隔缺损患者32例，术中全麻状态下经食管超声心动图（TEE）再次筛查确定，并监测引导经股静脉导管封堵治疗，术后3天、1月、3月、6月经胸超声心动图随访复查。
结 果32例初筛入选患者中，术中TEE再次筛查发现1例距下腔静脉为软边，1例为双孔型房缺，随行常规开胸心脏直视修补手术。其余30例均成功行经皮导管介入封堵治疗，所有患者封堵器型号与术前测量径线相关良好。术后3天、1、3、6月随访复查，经胸超声心动图显示封堵器位置正常，房水平分流消失，均未出现脱落及残余分流，无严重并发症出现。
结 论 经食管超声引导经皮导管房间隔缺损接入封堵治疗，避免了X线辐射及体外循环，将患者创伤降到最低，可推广于临床，超声技术在初筛、术前再筛、术中引导、术后随访中都有重要的应用价值。 |
| 关键词: 经胸超声心动图 经食管超声心动图 房间隔缺损 |
| DOI： |
| 投稿时间：2017-08-30修订日期：2017-10-02 |
| 基金项目:编号：17B320016 |
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| Application of transesophageal echocardiography for guiding percutaneous device cloure of atrial septal defect |
| Hou Suyun,Cui Kefei |
| () |
| Abstract: |
| Objective To study the application value of transesophageal echocardiographic (TEE) in percutaneous device closure of atrial septal defect.
Methods Form September 2014 to September 2016, 32 patients of ASD were examined by transthoracic echocardiography in our hospital before operation, in the operation they were examined by transesophageal echocardiographic again and the device was implanted through the femoral vascular access. Reviewed 3 days,1、3 and 6 months after operation. Results In 32 cases, 2 cases were convertsd to open surgery after the second diagnosed by TTE . The other 30 cases were successful completed by operation. Reviewed 3 days,1、3 and 6 months after operation, the devices’ positions were optimal an no sever complication happened. Conclusions Percutaneous transcatheter clsure of atrial septal defect guided by TEE is safe and minimally invasive, the TEE has important application value and reliable effect in diagnosis before operation、guide in operation and review after operation. |
| Key words: transthoracic l echocardiography transthoracic echocardiography atrial septal defect percutaneous transcatheter clsure Septal occluder device |
