心脑血管病防治Issue(3)：204-206,3.DOI:10.3969/j.issn.1009_816x.2014.03.09
三维食管超声心动图在经胸小切口房间隔缺损封堵术中的应用
Value of Real_time 3D Transesophageal Echocardiography Guided Small Chest Incision for Atrial Septal Defect (ASD) Oc-clusion
全丽娟 1金惠红 1朱文军1
作者信息
- 1. 314000 浙江省嘉兴市第一医院超声科
- 折叠
摘要
Abstract
Objective To explore the effect of real_time 3D transesophageal echocardiography (RT_3D TEE)guided small chest inci-sion for ASD occlusion.Methods 30 cases of ASD were preliminary screened before the operation ,ASD sizes ranged from 6mm to 32mm ,atrial septal margin was bigger than 5mm.The total lengths of atrial septum ,the largest diameter of ASD ,the length of the soft edges of atrial septal margin were measured by transthoracic echocardiography (TTE) before the operation.The data were mea-sured during the operation by RT_3D TEE and compared with those before the operation.Patients were followed_up 1 to 12 months af-ter operation.Results 30 cases with thoracic small incision closure were all successful ,without further processing accidents.In terms of the identification of total length of atrial septal and soft edge ,the TEE did better than TTE.In terms of measuring the largest diam-eter of ASD ,there were no significant differences.RT_3D TEE imaging showed stereo image of atrial septal defect. Conclusions In small chest incision for ASD occlusion ,real_time 3D transesophageal echocardiography may play a more important role in choosing ap-propriate cases ,the size of occluder ,guiding occluder release and therapeutic evaluation than TTE.With equipment of three_dimen-sional imaging ,the effect of examination is more ideal.关键词
实时三维超声心动图/经食管/房间隔缺损/经胸小切口/封堵术Key words
Real_time 3D echocardiography/Transesophageal/Atrial septal defect/Small chest incision/Occlusion分类
医药卫生引用本文复制引用
全丽娟,金惠红,朱文军..三维食管超声心动图在经胸小切口房间隔缺损封堵术中的应用[J].心脑血管病防治,2014,(3):204-206,3.
