| 摘要: |
| 目的 探讨经食管实时三维超声心动图(Real-time 3D Transesophageal echocardiography, RT--3D--TEE)在经皮卵圆孔未闭(patent foramen ovale, PFO)封堵术中的应用价值。方法 回顾性分析95例单纯RT--3D--TEE引导下经皮PFO封堵患者的病例资料及随访资料,分析RT--3D--TEE在提高手术成功率、缩短手术时间、保证手术安全性方面的应用价值。结果 RT-3D-TEE能够实时直观地显示心脏和封堵装置立体结构的三维图像,对封堵过程实时全程监测指导,95例患者中,94例封堵成功,手术成功率为98.95%,平均手术时间为(26.81±5.98)min,4例(4.21%)患者出现一过性心律失常,术后随访1～3年无严重并发症发生。结论 RT--3D--TEE为经皮PFO封堵术提供了心脏立体结构的三维图像,利于超声心动图医师与手术医师沟通交流,为高成功率、短时间和安全地完成封堵手术提供了保证,具有重要的应用价值。 |
| 关键词: 实时三维 经食管超声心动图 卵圆孔未闭 经皮封堵 |
| DOI： |
| 投稿时间：2021-05-09修订日期：2021-11-29 |
| 基金项目: |
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| Application value of RT-3D-TEE in percutaneous closure of patent foramen ovale |
| guochaofeng,wangyanqing,wangxiaojing,shijinglu,yangzaizhen,wangxiaodong |
| (People''s Hospital of Zhengzhou) |
| Abstract: |
| Objective To investigate the application value of Real-time three-dimensional Transesophageal echocardiography (RT-3D-TEE) in percutaneous closure of patent foramen ovale (PFO). Methods The case data and follow-up data of 95 patients with percutaneous PFO occlusion under the guidance of RT-3D-TEE were retrospectively analyzed, and to analyze the application value of RT-3D-TEE in improving the success rate of surgery, shortening the operation time and ensuring the safety of surgery. Results RT-3D-TEE could show the 3D-anatomy structure of heart and occlusion device on line. It could detect the position, size and shape of PFO, guiding and monitoring percutaneous PFO occlusion. Among the 95 patients, 94 cases were successfully occlusion, the success rate was 98.95%, the mean operation time was (26.81±5.98) min, transient arrhythmia occurred in 4 cases (4.21%), and no serious complications occurred during 1-3 years of postoperative follow-up. Conclusion RT-3D-TEE could show the 3D-anatomy structure of heart on line for percutaneous PFO occlusion, which is conducive to the communication between echocardiographers and surgeons, and provides a guarantee for the high success rate, short operation time and safe completion of the PFO occlusion operation. Therefore, it has important application value. |
| Key words: real-time three-dimension transesophageal echocardiography patent foramen ovale percutaneous occlusion |
