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目的探讨心脏彩超在先天性心脏病封堵介入治疗的术前评估、术中监测以及术后疗效评价方面的应用价值。方法术前心脏彩超检查筛选52例先心病患者,在心脏彩超配合X线监测下行介入封堵术,其中房间隔缺损(ASD)21例;室间隔缺损(VSD)18例;动脉导管未闭(PDA)13例。结果 51例患者成功置入封堵器,术后6个月复查无残余分流。1例ASD因术前评估测量有误,封堵失败。1例VSD术后出现三尖瓣中至大量反流。结论心脏彩超对先天性心脏病介入治疗的监测评价有着不可替代的作用。
Objective To investigate the value of echocardiography in the preoperative evaluation, intraoperative monitoring and postoperative evaluation of the interventional treatment of congenital heart disease. Methods Fifty-two patients with congenital heart disease (CHD) were examined by preoperative echocardiography. Twenty-one cases of atrial septal defect (ASD), 18 cases of ventricular septal defect (VSD), 18 cases of patent ductus arteriosus PDA) 13 cases. Results 51 patients successfully placed occluder, no residual shunt 6 months after the review. One case of ASD due to preoperative assessment of measurement errors, blocking failure. One case of VSD showed moderate to severe tricuspid regurgitation. Conclusion Echocardiography has an irreplaceable effect on the monitoring and evaluation of interventional therapy of congenital heart disease.