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目的探讨单纯采用超声心动图引导并监测动脉导管未闭(PDA)经皮介入治疗的经验及方法,及其可行性与有效性。方法选取在我院就诊的单纯PDA患者84例,所有患者均行经胸超声心动图(TTE)引导下经皮行PDA封堵术,术后多次超声心动图随诊。结果所有患者均在超声心动图引导下完成经皮PDA封堵术,顺利出院。平均随访3.6个月,均无残余分流及严重并发症。结论 TTE引导下经皮动脉导管未闭封堵术避免放射及开胸损伤,可以安全、有效地治疗PDA,具有较好的可行性。
Objective To explore the experience and methods of using echocardiography to guide and monitor percutaneous transluminal catheterization (PDA) and its feasibility and effectiveness. Methods A total of 84 simple PDA patients were selected in our hospital. All patients underwent PDA occlusion guided by transthoracic echocardiography (TTE). Multiple echocardiography was followed up. Results All patients underwent percutaneous PDA closure under the guidance of echocardiography and successfully discharged. With a mean follow-up of 3.6 months, there were no residual shunts and serious complications. Conclusion TTE - guided percutaneous closure of patent ductus arteriosus to avoid radiation and thoracic injury, can be safely and effectively treated PDA, with good feasibility.