临床与病理杂志2018，Vol.38Issue(1)：78-84,7.DOI:10.3978/j.issn.2095-6959.2018.01.014
超声引导下经胸心间隔缺损封堵术与常规开胸修补手术的对比研究
Comparative study of the transesophageal echocardiography guided transthoracic device closure and conventional on-pump surgical closure in heart septal defects
摘要
Abstract
Objective: To evaluate advantages between transesophageal echocardiography guided transthoracic device closure and conventional correction surgery with cardiopulmonary bypass in heart septal defects. Methods: From July2015 to December 2016,126 patients with heart septal defects were treated in the First Affiliated Hospital of Anhui Medical University. A total of 79 patients were enrolled in the cohort after removing surgical contraindication;45 patients received transesophageal echocardiography guided transthoracic device closure (TEE group) and 34 patients received conventional correction surgery (CPB group), respectively. Perioperative clinical parameters(thoracotomy time, time of sternal closure, anesthesia duration, operation time, length of ICU stay, duration of mechanical ventilation, volume of drainage, operative incision lengths, duration of hospital stay, hospitalization expenses, and number of transfusion cases) and postoperative complications were compared between two groups. Results: Success rate of operation was 97.8％ in the TEE group and 100％ in the CPB group (P＞0.05). All clinical parameters were compared between two groups which TEE group was better than the CPB group (P＜0.05). The incidence of postoperative pleural effusion in the TEE group was lower than that in the CPB group (4.5％ vs 47.1％, P＜0.05). No deaths and serious complications occurred during follow-up period. Conclusion: Relative to conventional correction surgery with CPB, transesophageal echocardiography guided transthoracic device closure in heart septal defects was better in minimal invasiveness,recovering time, safety, reliability and so on. It should be actively promoted in clinical practice.关键词
心间隔缺损/食管超声/封堵/体外循环Key words
heart septal defects/echocardiography/transesophageal/closure/cardiopulmonary bypass引用本文复制引用
孔瑞瑞,郭志祥,张成鑫,龚文辉,葛圣林..超声引导下经胸心间隔缺损封堵术与常规开胸修补手术的对比研究[J].临床与病理杂志,2018,38(1):78-84,7.基金项目
安徽省科技厅项目(1301043025).This work was supported by the Project of Anhui Provincial Science and Technology Department, China (1301043025). （1301043025）
