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目的比较和评价国产室间隔缺损(VSD)封堵器与Amplatzer室间隔缺损封堵器(AVSDD)治疗室间隔缺损治疗的效果和安全性。方法对198例VSD封堵术的患者进行回顾性分析,比较两种方法的治疗效果和安全性。结果国产组和AVSDD组的手术成功率比较无明显差异(P>0.05),术后24h、1、3、6、12个月不同时点随访,残余分流量两组无明显差异(P>0.05),两组并发症比较两组无明显差异(P>0.05)。结论用国产封堵器经导管封堵部分室间隔缺损创伤小、恢复好、效果好、费用低,是一种值得推广的好方法。
Objective To compare and evaluate the efficacy and safety of home-made ventricular septal defect (VSD) occluder and Amplatzer ventricular septal defect occluder (AVSDD) in the treatment of ventricular septal defect. Methods A retrospective analysis of 198 patients with VSD closure was performed. The therapeutic effects and safety of the two methods were compared. Results There was no significant difference in operative success rate between domestic group and AVSDD group (P> 0.05). After follow-up at different time points at 1, 3, 6 and 12 months after operation, there was no significant difference between the two groups There was no significant difference between the two groups in complication (P> 0.05). Conclusion It is a good way to promote the use of domestic occluder to block part of ventricular septal defect by catheter and achieve good recovery and good effect with low cost.