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目的:评价房间隔缺损(ASD)介入治疗的临床疗效;方法:全组100例,经临床、心电图、X线及经胸超声心动图(TTE)检查诊断为ASD继发孔型,TTE测不同切面ASD的最大直径6~32(16±2)mm,其中单孔ASD为95例,多孔ASD5例。结果:100例均一次封堵成功,技术成功率100%,所用封堵器直径为10~40(20±6)mm,5例多孔ASD,2例置入1个封堵器直接封堵2个缺损孔,3例分别用2个封堵器加以封堵2个缺损孔。结论:ASD的介入治疗具有操作简便易行、无创伤、风险小、安全可靠、技术成功率高、住院时间短等优点。
Objective: To evaluate the clinical effect of interventional treatment of atrial septal defect (ASD). Methods: 100 cases in the whole group were diagnosed as secondary ASD by clinical, electrocardiogram, X-ray and transthoracic echocardiography (TTE) The maximum diameter of ASD was 6 ~ 32 (16 ± 2) mm, including 95 cases of single-hole ASD and 5 cases of porous ASD. Results: All the 100 cases were successfully occluded once and the technical success rate was 100%. The diameter of occluder used was 10-40 (20 ± 6) mm, 5 cases of porous ASD, 2 cases occluded directly A defect hole, 3 cases were occluded with 2 occluder two defect holes. Conclusion: The interventional treatment of ASD has the advantages of easy operation, no trauma, low risk, safe and reliable, high technical success rate and short hospital stay.