[1]王诚,赵世华,蒋世良,等.４０岁以上患者继发孔型房间隔缺损经导管封堵与外科手术的对比研究[J].介入放射学杂志,2007,(02):79.
　WANG Cheng,ZHAO Shi-hua,JIANG Shi-liang,et al.Comparison between transcatheter and surgical closure of secundum atrial septal defect in patients over４０years old[J].journal interventional radiology,2007,(02):79.
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４０ 岁以上患者继发孔型房间隔缺损经导管封堵与外科手术的对比研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年02期
页码:
79
栏目:
心脏介入
出版日期:
2007-02-15

文章信息/Info

Title:
Comparison between transcatheter and surgical closure of secundum atrial septal defect in patients over４０years old
作者:
王诚; 赵世华; 蒋世良; 等
１０００３７北京中国医学科学院中国协和医科大学北京阜外心血管病医院放射科
Author(s):
WANG Cheng; ZHAO Shi-hua; JIANG Shi-liang; HUANG Lian-jun; XU Zhong-ying; LING Jian; ZHENG Hong; ZHANG Ge-jun; L譈Bin; ZHANG Yan; JIN Jing-lin; YAN Chao-wu; DAI Ru-ping．
Department of Radiology，Cardiovascular Institute and Fu Wai Hospital，Chinese Academy of Medical Sciences and Peking Union Medical College，Beijing１０００３７，China
关键词:
房间隔缺损; 心脏导管插入术; 修补术
分类号:
R５４１.１
文献标志码:
A
摘要:
目的比较４０岁以上房间隔缺损（ASD）经导管封堵和外科手术两种治疗方法的疗效和安全性。方法２００４年１月至２００５年１２月，既适宜行封堵术也可行外科手术治疗的２３３例继发孔型ASD患者按意愿分为介入治疗组（以下简称介入组，共１３７例）和外科手术组（以下简称外科组，共９６例）。比较两组技术成功率、并发症、残余分流率、住院天数、输血量和医疗费用等指标。结果两组在年龄眼（４９±８）岁和（４８±７）岁，P＝０．１３５演、性别构成比和术前心功能方面没有显著性差异。外科组较介入组缺损直径大，分别为（２４．９±６．８）mm和（１８．９±５．４）mm（P＜０．００１）。两组技术成功率（９７．１％和１００％，P＝０．１５１）和残余分流率（０．７％和０％，P＝０．５８３）均无显著性差异。两组均无死亡，但外科组并发症发生率（３０．２％和１６．１％，P＝０．０１５）和输血量眼（２７３．１±４９１．５）ml和０ml，P＜０．００１演高于介入组，住院时间眼（１２．０±４．０）d和（４．６±３．３）d，P＜０．００１）演和操作时间眼（２１２±３６．５）min和（６０．０±１７．７）min，P＜０．００１）演均长于介入组，而住院费用显著低于介入组，分别为（２９８３９．６±７５３３．１）元和（３９５７０．０±５９２９．５）元（P＜０．００１）。结论两种治疗方法均安全有效。对于４０岁以上ASD患者，只要适应证选择合理，介入治疗因其微创性而更具有优势。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２００６-０７-１４
更新日期/Last Update: 2007-02-15