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目的探讨彩色多普勒在房间隔缺损(ASD)介入封堵术中应用的临床价值。方法本组49例先天性心脏病ASD患者,在彩超引导下行经导管以深圳先键科技XJFS型ASD封堵器封闭房间隔缺损。结果41例患者一次放置封堵成功;4例二次封堵成功;2例出现并发症,其中1例并发房壁穿孔,1例并发急性脑梗死;2例封堵失败转心脏外科手术。结论利用ASD封堵器封闭房间隔缺损,彩色多普勒超声在病例选择、封堵器放置、判断对瓣膜有无影响、及时发现并发症以及术后即时观察疗效方面有重要的临床价值。
Objective To investigate the clinical value of color Doppler in the treatment of atrial septal defect (ASD). Methods 49 cases of congenital heart disease ASD patients under the guidance of ultrasound-guided catheter-based Shenzhen XJFS type ASD occluder closure of atrial septal defect. Results 41 patients were successfully placed and closed at one time, 4 patients achieved secondary occlusion, and 2 patients had complications. One patient had perforation of the parietal perforation, one patient had acute cerebral infarction and two patients failed cardiac surgery. Conclusion ASD occluder closure of atrial septal defect, color Doppler ultrasound in the selection of cases, occluder placement, to determine whether the impact on the valve, the timely detection of complications and immediate observation of the curative effect has important clinical value.