[1]张毅刚,李世杰,刘茹,等.室间隔缺损介入封堵失败病例经胸超声心动图回顾性分析[J].介入放射学杂志,2008,(12):850-852.
　ZHANG Yigang,LI Shijie,LIU Ru,et al.Retrospective analysis of transthoracic echocardiography about the failure of transcather closure of ventricular septal defect[J].journal interventional radiology,2008,(12):850-852.
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室间隔缺损介入封堵失败病例经胸超声心动图回顾性分析()

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

卷:
期数:
2008年12期
页码:
850-852
栏目:
心脏介入
出版日期:
2008-12-15

文章信息/Info

Title:
Retrospective analysis of transthoracic echocardiography about the failure of transcather closure of ventricular septal defect
作者:
张毅刚; 李世杰; 刘茹; 等
作者单位：22101l江苏省徐州巾中心医院心内科
Author(s):
ZHANG Yi－gang; LI Shi－jie; LIU Ru; LI Zhi－hong; FU Qiang．
Department of Cardiology，Xuzhou Municipal Central Hospital，Xuzhou２２１０１１，China
关键词:
室间隔缺损; 介入封堵; 超声心动图; 回顾性分析
分类号:
R５４１.１
文献标志码:
A
摘要:
目的对室间隔缺损（VSD）介入封堵失败病例术后行经胸超声心动图复查，以提高经胸超声心动图术前应用价值，总结失败原因。方法选取１５例VSD封堵不成功病例。在分析左室造影主要观察指标后，用Philips５５００型彩色多普勒诊断仪在不同超声切面于术后重复测量VSD大小、观察缺损口形态与周围结构的毗邻关系以及各瓣膜的反流情况。结果①膜周部VSD１０例：膜部瘤８例，其中≥２个出口６例，膜部瘤基底部宽度８～１８（１０±２）mm，瘤深度３～１０（６±２）mm；距主动脉瓣０～６（２±１）mm，距右房室瓣２～５（２±１）mm；均伴右房室瓣少量反流；主动脉瓣反流５例，为微量至少量。无膜部瘤２例。②嵴内型VSD５例：大小６～１０（７±１）mm，距肺动脉瓣２～３（１±０．８）mm，距主动脉瓣１～２（１±０．６）mm；主动脉瓣少量反流４例；右房室瓣微量反流５例；主动脉瓣脱垂４例；５例均成五彩花样分流。结论超声心动图受影响因素较多，对缺损的定位和大小的测量，应选择多切面、多方向的连续扫查法，以筛选VSD封堵术的适应证及合适封堵器大小，提高封堵成功率，保证VSD封堵术的远期疗效。

参考文献/References:

［１］Hijazi ZM，Hakim F，Haweleh AA，et al．Catheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder：Initial clinical experience［J］．Catheter Cadi Inter，２００２，５６：５０８－５１５．
［２］孔祥清．先天性心脏病介入治疗［M］．南京：江苏科学技术出版社，２００３．
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［４］张军，李军．超声心动图在嵴内型VSD封堵中的应用［J］．心脏杂志，２００５，１７：３．
［５］Bass JL，Kalra GS，Arora R，et al．Initial human experience with the Amplatzer perimembranous ventricular septal occluder device［J］．Catheter Cardiovasc Interv，２００３，５８：２３８－２４５．
［６］Ho SY，Path FRC，Karen P，et al．Morphology of perime mbra－nous ventricular septal defects：implications for transcatheter device closure［J］．J I nterven Cardiol，２００４，１７：９９－１０７．
［７］Arora R，Trehan V，Kumar A，et al．Transcat heter closure of congenital vent ricularseptal defect s：experience with various devices［J］．J Interv Cardiol，２００３，１６：８３－８７．
［８］秦永文．室间隔缺损介入治疗与影像学图解［M］．上海：科学技术出版社，２００６：１４３－２００．

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备注/Memo

备注/Memo:
收稿日期：２００８－０７－２８
更新日期/Last Update: 2008-12-15