超声心动图预测房间隔缺损合并房间隔瘤患者封堵器型号的应用探讨

发布时间：2018-12-11 20:19

【摘要】：目的探讨在房间隔缺损合并房间隔瘤患者介入封堵手术中,使用超声心动图预测房间隔缺损封堵器型号大小的可行性。方法回顾性分析我院成功进行封堵治疗的房间隔缺损合并房间隔瘤患者62例,对比手术前与手术中超声心动图测量房间隔缺损大小的差别,并与所选择房间隔缺损封堵器型号大小进行比较,对术前、术中测值与封堵器型号大小进行相关性分析。结果 62例房间隔缺损合并房间隔瘤患者缺损大小术前测值为(27.27±4.07)mm,术中测值为(31.42±4.41)mm,所选取封堵器型号大小为(32.42±5.53)mm,术前与术中测值之间,以及两者与选取封堵器型号大小之间差异均有统计学意义(P0.05),而术中测值与封堵器型号的相关性较术前测值更高(r=0.921vs r=0.752)。结论术前及术中使用超声心动图对房间隔缺损合并房间隔瘤患者的缺损大小测量存在差异,术中测量房间隔缺损大小与封堵器型号大小的选取更为相符。
[Abstract]:Objective to investigate the feasibility of using echocardiography to predict the size of atrial septal defect occluder in patients with atrial septal defect complicated with atrial septal tumor. Methods Sixty-two patients with atrial septal defect complicated with atrial septal tumor who were successfully occluded in our hospital were analyzed retrospectively. The size of atrial septal defect was measured by echocardiography before operation and during operation. The size of ASD occluder was compared with the size of ASD occluder, and the correlation between the size of ASD occluder and the value of ASD before operation was analyzed. Results the size of the occluder in 62 patients with atrial septal defect complicated with atrial septal tumor was (27.27 卤4.07) mm, during operation and (31.42 卤4.41) mm,. The size of occluder was (32.42 卤5.53) mm,. There were significant differences between preoperative and intraoperative values, and between the two parameters and the size of the occluder (P0.05). The correlation between the intraoperative values and occluder models was higher than that before operation (r=0.921vs rr 0.752). Conclusion Echocardiography was used to measure the size of atrial septal defect with atrial septal tumor before and during operation, and the size of atrial septal defect was more consistent with the size of occluder.
【作者单位】：广西医科大学第一附属医院超声科;
【基金】：广西自然科学基金重点项目(No.桂科自2012GXNSFDA239002)
【分类号】：R445.1;R732.1

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