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目的研究改良小切口经右胸壁食道超声引导下封堵治疗房间隔缺损的临床效果。方法选取我院收治的23例继发孔房间隔缺损患儿,均在全麻食道超声引导下经右腋下胸壁小切口行房间隔缺损封堵术进行治疗,并与术后第2 d口服阿司匹林肠溶片,服用6个月。结果 23例患儿均封堵成功,手术操作时间31~65 min,平均(50.8±9.9)min,术后住院时间4~7 d,平均(5.8±1.2)d,随访1个月~1年,复查心脏超声无残余分流,二尖瓣、三尖瓣无反流,封堵伞无移位。结论改良右腋下小切口经胸壁食道超声引导下封堵治疗房间隔缺损是一种操作简单、创伤小、安全的手术方法。
Objective To study the clinical effect of modified small incision on the treatment of atrial septal defect with transcatheter closure of the right chest wall by esophagectomy. Methods Twenty-three cases of secondary atrial septal defect admitted to our hospital were treated with transcatheter closure of atrial septal defect via the right axillary thoracic incision under the guidance of general anesthesia with esophageal ultrasound, Aspirin enteric-coated tablets, taking 6 months. Results All the 23 cases were successfully occluded. The operative time ranged from 31 to 65 minutes (mean, 50.8 ± 9.9) min, postoperative hospital stay from 4 to 7 days (mean, 5.8 ± 1.2 days), followed up from 1 month to 1 year , Review the echocardiography without residual shunt, mitral valve, tricuspid valve without reflux, no displacement of the closure of the umbrella. Conclusion The modified right axillary small incision under the guidance of transoral thoracic esophageal anomalies for the treatment of atrial septal defect is a simple operation, small trauma, safe surgical method.