先心病及瓣膜病的介入治疗120例分析

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1、先心病及瓣膜病的介入治疗120例分析【摘要】目的：探讨介入封堵治疗先天性心脏病以及瓣膜病的治疗效果。方法：回顾性分析我院2009年11月至2010年4月间收治的120例先心病介入治疗患者的临床资料。结果:儿童组中，厉间隔缺损16例，室间隔缺损12例，动脉导管未闭16例，均成功封堵，无并发症发生。少年组中，厉间隔缺损12例，室间隔缺损8例，动脉导管未闭8例，均成功封堵，风心病二尖瓣狭窄8例，均穿刺成功。成人组中，房间隔缺损16例，均成功封堵，无并发症发生;室I'可隔缺损8例，4例成功封堵，4例封堵失败，均出现头痛并发症;动脉导管未闭12例，均成功封堵训J•动脉瓣狭窄4例穿刺成功。全部120例

2、患者中，4例出现并发症(3.3%),总有效率96.7%o结论：介入封堵术治疗先天性心脏病，手术成功率高，创伤小，并发症发病率低，临床效果显著。【关键词】心脏缺损，先天性;心脏瓣膜病;治疗结果Abstract：Objective：Toexplorethetherapeuticeffectofinterventionaltranscatheterclosureoncongenitalheartdiseaseandvalvulardisease.Methods：Clinicaldataof120patientswithcongenitalheartdiseaseandvalvulardiseas

3、eundergoinginterventionaltranscatheterclosureinourhospitalfromNovember2009toApril2010wereretrospectivelyanalyzed.Results：Inchildrengroup,therewere16caseswithatrialseptaldefect(ASD),12caseswithventriculai-septaldefect(VSD)and16caseswithpatentductusarteriosus(PDA),allcasesweresuccessfullyblockedwith

4、outcomplications.Injuvenilegroup,therewere12ASDcases,eightVSDcases,eightPDAcasesandtheywereallsuccessfullyblocked,anothereightcaseswithrheumaticmitralstenosiswereallsuccessfullypunctured.Inadultgroup,16ASDcasesweresuccessfullyblockedwithoutcomplications;therewere8VSDcases,amongwhichfourcasessuccee

5、dedandfourcasesfailedinclosureandfourfailedcasesoccuredcomplicationofheadache;atotalof12PDAcasesweresuccessfullyblockedandfourcaseswithpulmonaryvalvestenosisweresucceededinpuncture.Amongthewhole120patients,complicationsoccuiTedinfourcases(96.7%).Conclusion:Interventionaltranscatheterclosureforcong

6、enitalheartdiseasepossesseshighsuccessfulratio,fewtrauma,lowincidencerateofcomplicationsandclinicaleffectsareobvious・Keywords：Heartdefects,congenital;Heartvalvedisecises;Treatmentoutcome先天性心脏病在存活新生儿屮的患病率约为0.8%,估计我国每年新出生的先天性心脏病患儿约有15万左右［1］。瓣膜病是其中比较常见的，以前以风湿性心脏瓣膜病居多，但是随着人们生活条件的进步，非风湿性心脏瓣膜病的发病率也在逐渐升高

7、，如缺血性心脏病方室瓣关闭不全、代谢性瓣膜损坏等均有明显的上升趋势，而先天性瓣膜病也比之前有所增加［2］。随着科技的进步，介入技术和器材在不断发展，治疗的范围也不断扩大，介入治疗成为治疗心脏病的热点研究［3］。如今，我院房间隔缺损、卵圆孔未闭、动脉导管未闭及室间隔缺损介入封堵治疗已达国内领先水平，而风心病二尖瓣狭窄、先心病肺动脉瓣狭窄的球囊扩张术也已处于国内先进水平，现将有关疾病介入治疗报告分析如下。1资料与方法1.1一