[1]徐玮泽　叶菁菁　李建华　俞建根　张泽伟　舒　强　石　卓　俞　劲.食管超声引导下经皮儿童房间隔缺损封堵术的疗效评价[J].临床小儿外科杂志,2018,17(01):38-42.
　Xu Weize,Ye Jingjing,Li Jianhua,et al.Percutaneous transcatheter closure of atrial septal defect under the guidance of transesophageal echocardiography in children.[J].Journal of Clinical Pediatric Surgery,2018,17(01):38-42.
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食管超声引导下经皮儿童房间隔缺损封堵术的疗效评价

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年01期 页码: 38-42 栏目: 论著 出版日期: 2018-01-28
Title:
Percutaneous transcatheter closure of atrial septal defect under the guidance of transesophageal echocardiography in children.
作者:
徐玮泽　叶菁菁　李建华　俞建根　张泽伟　舒　强　石　卓　俞　劲
浙江大学医学院附属儿童医院心脏中心
Author(s):
Xu Weize; Ye Jingjing; Li Jianhua; Yu Jiangen; Zhang Zewei; Shu Qiang; Shi Zhuo; Yu Jin.
Department of the Heart Center,The Childrens Hospital of Zhejiang University School of Medicine,Hangzhou,310052,China.
关键词:
超声心动描记术; 经食管; 房间隔缺损; 封堵术; 儿童
Keywords:
Echocardiography;  Transophageal;  Heart Septal Defects;  Atrial;  Transcatheter;  Child
文献标志码:
A
摘要:
目的　探讨儿童单纯经食管超声心动图（ＴｒａｎｓｅｓｏｐｈａｇｅａｌＥｃｈｏｃａｒｄｉｏｇｒａｐｈｙ，ＴＥＥ）引导下
经皮房间隔缺损（ＡｔｒｉａｌＳｅｐｔａｌＤｅｆｅｃｔ，ＡＳＤ）封堵术的可行性、安全性和有效性。　方法　收集２０１４年
１１月至２０１６年８月单纯ＴＥＥ引导下经皮封堵ＡＳＤ患儿１１８例，男性５１例，女性６７例，年龄１３～１８０
个月，平均（６８．３９±３９．１２）个月，体重１０～７７ｋｇ，平均（２１．１４±１１．３４）ｋｇ。术中采用ＴＥＥ引导并监测
房间隔缺损封堵术的全过程。术后门诊随访３～６个月，予经胸超声心动图（Ｔｒａｎｓｔｈｏｒａｃｉｃｅｃｈｏｃａｒｄｉｏ
ｇｒａｐｈｙ，ＴＴＥ）检查，评估封堵效果。　结果　ＴＥＥ引导下经皮成功封堵单孔型继发孔ＡＳＤ１１８例。继发
孔ＡＳＤ大小３～２４ｍｍ，平均（９．５２±４．１２）ｍｍ，封堵器大小６～３２ｍｍ，平均（１４．１９±４．６０）ｍｍ。１１８例
均顺利完成封堵术，术后即刻ＴＥＥ检查及术后３～６个月ＴＴＥ随访，均未见封堵器移位、瓣膜损伤、心包
积液、外周血管损害等并发症。　结论　ＴＥＥ引导下经皮封堵儿童ＡＳＤ安全有效，成功率高，并发症的
发生率低、设备投入少，易于推广。
Abstract:
ObjectiveTo investigate the feasibility,safety and effectiveness of transcatheter closure of atrial septal defect (ASD) only under the guidance of transesophageal echocardiography (TEE) in children.MethodsFrom Nov.2014 to Aug.2016,118 cases of children undergoing percutaneous transcatheter closure of atrial septal defect received the procedure completely guided and monitored by TEE. Patients were followed up at the interval of 2 days and 3-6 months by conducting transthoracic echocardiography（TTE）.Results118 cases were identified by TEE as atrial septal defect,and single hole was detected in all cases. The diameter of ASD was 3-24 mm（9.52±4.12mm）,the size of the Amplatzer occluder was 6 mm-32 mm(14.19±4.60 mm) There were no complications occurred during immediate postoperative check and follow-up procedure by TEE,such as occluder displacement,valvular injury,peripheral vascular injury and pericardial effusion.ConclusionPercutaneous transcatheter closure of atrial septal defect completely guided by TEE is safe and effective,The advantages of high success rate,low complication rate and reasonable price make it easy to promote in children patients.

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