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目的探讨不同类型室间隔缺损(ventricular septal defect,VSD)并主动脉瓣脱垂(aortic valve prolapse,AVP)介入治疗的个体化治疗方案。方法 28例VSD并AVP患儿行经皮封堵术,经胸超声心动图及左心室造影进行诊断及分类。结果 15例为膜周流出道型,7例为隔瓣后型,6例为膜周部型;患者均伴有局限AVP;VSD直径2.5~9.2mm,20例缺损口上缘距主动脉瓣<2mm;介入治疗成功率89.3%(25/28);未出现三尖瓣、主动脉瓣狭窄及主动脉瓣穿孔,无Ⅲ度房室传导阻滞等严重心律失常发生。结论介入治疗不同类型VSD并AVP安全、有效。
Objective To investigate the individualized treatment of different types of ventricular septal defect (VSD) and aortic valve prolapse (AVP) interventional therapy. Methods 28 cases of VSD and AVP children underwent percutaneous closure, transthoracic echocardiography and left ventricular angiography for diagnosis and classification. Results Out of the 15 cases, there were 15 cases of membranous outflow tract type, 7 cases of septal septum type and 6 cases of membranous peripheral type. The patients were all with limited AVP. The diameter of VSD was 2.5-9.2 mm, 2mm. The success rate of interventional therapy was 89.3% (25/28). There was no serious arrhythmia such as tricuspid valve, aortic valve stenosis, aortic valve perforation, or Ⅲ degree atrioventricular block. Conclusion Interventional treatment of different types of VSD and AVP safe and effective.