| 何怡华,李治安,谷孝艳.超声心动图的室间隔缺损分型与外科手术路径的对照分析[J].中国医学影像技术,2010,26(1):72~74 |
| 超声心动图的室间隔缺损分型与外科手术路径的对照分析 |
| Comparative analysis between the echocardiographic type of ventricular septal defect and the approach of surgical operation |
| 投稿时间：2009-06-19 修订日期：2009-11-05 |
| DOI： |
| 中文关键词: 室间隔缺损 分型 外科手术 并发症 |
| 英文关键词:Heart septal defects, ventricular Classification Surgery Complications |
| 基金项目: |
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| 中文摘要: |
| 目的 分析先天性心脏病室间隔缺损(VSD)患者超声分型与外科手术路径选择的关系,探讨超声指导临床选择治疗方案的价值。方法 200例先天性心脏病VSD患者接受外科手术治疗,术前接受超声心动图检查并进行分型,将超声心动图分型结果与外科手术分型及手术路径对照分析。结果 术前超声VSD分型与术中外科分型完全吻合者160例,占80.00%;膜周型VSD、隔瓣下型VSD、单纯膜部型VSD采用右心房入路,干下型VSD采用主肺动脉入路,肌部VSD及部分巨大VSD采用右心室入路。较大的VSD或合并其他畸形者采用联合入路。结论 术前超声准确分型对外科手术路径的选择、减少创伤、降低并发症具有重要的指导意义。 |
| 英文摘要: |
| Objective To assess the value of echocardiography in guiding surgical operation approach of ventricular septal defect (VSD). Methods A total of 200 patients with VSD underwent surgical repair. The type of VSD was determined with echocardiography before operation and the results were analyzed in comparison with operation approach. Results There was significant accordance in the type of VSD detected with echocardiography and the surgical findings, and the coincidence rate of 80.00%. The transatrial approach was chosen in patients with perimembranous VSD, subseptal cusp VSD and simple membranous; the anspulmonary approach was chosen in subarterial VSD, while transventricular approach was chosen in muscular VSD or VSD with large size. Combined approach was suitable in VSD complicated with intracardiac malformations. Conclusion The type of VSD determined with echocardiography plays a key role in the selection of operation approach, and is benefit to reducing complications. |
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