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目的总结心健TM封堵器介入治疗房间隔缺损、动脉导管未闭及室间隔缺损的可行性及疗效。方法病人年龄11个月～45岁,体重5～66kg。在X线透视及经胸超声心动图监视下,应用心健TM封堵器按常规方法行介入封堵术,治疗房间隔缺损29例、动脉导管未闭23例、室间隔缺损合并房间隔缺损1例。房间隔缺损均为继发孔中央型;动脉导管未闭漏斗型9例、管型13例、窗型1例;室间隔缺损为膜周型。结果全组无死亡。即刻成功率98%(52/53),即刻完全封堵率92%(48/52)。1例窗形动脉导管未闭并重度肺动脉高压术后血尿,经药物治疗4日后症状消失;另术后早期少量残余分流3例,Ⅰ度房室传导阻滞4例,Ⅱ度Ⅰ型房室传导阻滞1例,随访1～6个月症状均消失。结论用心健TM封堵器介入治疗房间隔缺损、动脉导管未闭及室间隔缺损可靠,疗效确切。
Objective To summarize the feasibility and efficacy of Xinshin TM occluder interventional treatment of atrial septal defect, patent ductus arteriosus and ventricular septal defect. Methods Patients aged 11 months to 45 years old, weighing 5 ~ 66kg. Under the supervision of X-ray and transthoracic echocardiography, Xinshin TM occluder was used to intervene and block operation according to the routine method, and 29 cases of atrial septal defect and 23 cases of patent ductus arteriosus were treated. Ventricular septal defect complicated with atrial septal defect 1 case. Atrial septal defect were secondary to the central hole type; patent ductus arteriosus in 9 cases, 13 cases of tube, window in 1 case; ventricular septal defect for the peritoneum. Results no death in the whole group. Immediate success rate of 98% (52/53), immediately complete sealing rate of 92% (48/52). 1 case of patent ductus arteriosus and severe hematuria after severe pulmonary hypertension, the symptoms disappeared after 4 days of drug treatment; another small residual shunt in early postoperative 3 cases, Ⅰ degree atrioventricular block in 4 cases, Ⅱ degree Ⅰ type atrioventricular 1 case of conduction block, followed up for 1 to 6 months, the symptoms disappeared. Conclusion Heart health TM occluder interventional treatment of atrial septal defect, patent ductus arteriosus and ventricular septal defect reliable, effective curative effect.