摘要: |
目的 探讨经食管超声心动图(TEE)引导经胸微创膜周部室间隔缺损( pmVSD)封堵术中封堵入路夹角与手术成功率及心内操作时间的关系。方法 回顾性分析73例TEE引导下经胸微创pmVSD封堵治疗患者的TEE影像及病例资料。分析封堵入路夹角与心内操作时间的相关性;依据封堵入路夹角及手术成功情况,将患者分为封堵入路夹角<30°组和封堵入路夹角≥30°组,比较两组的手术成功率和心内操作时间。结果 封堵入路夹角与心内操作时间呈正相关(rs=0.786, P<0.05);封堵入路夹角<30°组的手术成功率高于≥30°组(100% VS 80.95%,c2=11.251, P<0.05);封堵入路夹角<30°组的心内操作时间小于封堵入路夹角≥30°组(24.50±5.39min VS 39.05±4.31min,t=11.090, P<0.05),差异有统计学意义。结论 TEE引导经胸微创pmVSD封堵术中封堵入路夹角与心内操作时间呈正相关,选择较小的封堵入路夹角<30°可以提高手术成功率,缩短心内操作时间。 |
关键词: 微创 室间隔缺损 经胸封堵术 经食管超声心动图检查 |
DOI: |
投稿时间:2021-03-06修订日期:2021-03-25 |
基金项目: |
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The relationship between device closure angle, the success rate of operation and intracardiac operation time of minimally invasive device closure of perimembranous ventricular septal defect guided by TEE |
guochaofeng,WANG Xiaojing,SHI Jinglu,WANG Yanqing,YANG Zaizhen,WANG Xiaodong |
(Department of ultrasound, People''s Hospital of Zhengzhou) |
Abstract: |
Objective To investigate the relationship between the Angle of occlusion approach and the success rate of operation and intracardiac operation time of transthoracic minimally invasive perventricualr device closure of perimembranous ventricular septal defects (pmVSD) guided by transesophageal echocardiography (TEE). Methods The images and case data of 73 patients with TEE guided transthoracic minimally invasive pmVSD occlusion were retrospectively analyzed. The correlation between the Angle of occlusion approach and the time of intracardiac operation was analyzed. Patients were divided into two groups according to the included the Angle of the occlusion approach and the successful situation of the operation: one group included the Angle of the occlusion approach < 30°, and the other group included the Angle of the occlusion approach ≥30°, and the surgical success rate and intracardial operation time of the two groups were compared. Results There was a positive correlation between the Angle of occlusion approach and the time of intracardiac operation (rs =0.786, P < 0.05). The success rate of the occlusion approach < 30° group was higher than that of the ≥30° group (100% VS 80.95%, ?2=11.251, P < 0.05). Intracardial operation time in the group with occlusion Angle < 30° was shorter than that in the group with occlusion Angle ≥30° (24.50±5.39min VS 39.05±4.31min, t=11.090, P < 0.05), and the difference was statistically significant. Conclusion There is a positive correlation between the occlusion Angle and the intracardiac operation time in TEE guided transthoracic minimally invasive pmVSD occlusion, and a smaller occlusion Angle < 30° can improve the success rate of the operation and shorten the intracardiac operation time. |
Key words: Minimally invasive Ventricular septal defect Perventricular device closure Transesophageal echocardiography |