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目的 评价超声心动图在动脉导管未闭 (PDA)、房间隔缺损 (ASD)及室间隔缺损 (VSD)介入治疗中的作用。方法 经导管闭合 6例 PDA、 8例 ASD及 3例 VSD患者 ,术前、术中、术后进行经胸或 /和经食道超声心动图检查。结果 6例 PDA、 8例 ASD及 3例 VSD在经胸超声引导下均成功置入封堵器且无并发症。仅1例 ASD、 1例 PDA术后即刻存在少许残余分流 ,分别于 1周及 3个月后消失。结论 超声心动图对于用封堵器封堵 PDA、 ASD及 VSD术前病例选择 ,术中指导监测 ,封堵器型号的选择与术后疗效评价等均有较大的价值。
Objective To evaluate the role of echocardiography in the treatment of patent ductus arteriosus (PDA), atrial septal defect (ASD) and ventricular septal defect (VSD). Methods 6 cases of PDA, 8 cases of ASD and 3 cases of VSD were closed by catheter, and transthoracic and / or transesophageal echocardiography was performed before, during and after operation. Results 6 cases of PDA, 8 cases of ASD and 3 cases of VSD under the guidance of transthoracic ultrasound were successfully inserted occluder and no complications. Only a case of ASD, 1 case of PDA there is a little residual shunt immediately after 1 week and 3 months later disappeared. Conclusions Echocardiography is of great value in preoperative occlusion of PDA, ASD and VSD with occluder, guidance of intraoperative monitoring, choice of occluder type and evaluation of postoperative efficacy.