超声心动图评价房间隔缺损封堵术后女性孕期安全性的研究

发布时间：2018-05-25 20:46

本文选题：超声心动图 + 房间隔缺损　；参考：《中国超声医学杂志》2015年02期

【摘要】：目的评价房间隔缺损封堵术后孕妇孕期心功能变化及其对Amplatzer封堵器的影响。方法应用超声心动图观察23例继发孔型房间隔缺损封堵术后孕妇孕期心功能及封堵器位置变化,并与23例正常孕妇对照,评价封堵术后妊娠的安全性。结果与正常孕妇对比,房间隔缺损封堵术后孕妇左房内径在孕初期无变化、孕中期增大但尚在正常值范围、孕晚期则显著增大,左室、右房、右室内径孕期无明显变化,Tei指数孕期均在正常范围。孕期及分娩时房间隔与封堵器黏合紧密、位置未见改变。结论房间隔缺损封堵术后孕妇孕期左房增大对封堵器位置和形态无明显影响,提示封堵术后可安全妊娠与分娩。关键词
[Abstract]:Objective to evaluate the changes of cardiac function in pregnant women after atrial septal defect occlusion and its effect on Amplatzer occluder. Methods the changes of cardiac function and occluder location in 23 pregnant women after transcatheter closure of secondary atrial septal defect (ASD) were observed by echocardiography and compared with 23 normal pregnant women to evaluate the safety of pregnancy after transcatheter closure of atrial septal defect (ASD). Results compared with normal pregnant women, the diameter of left atrium of pregnant women after atrial septal defect closure did not change at the beginning of pregnancy, but increased in the second trimester, and increased significantly in the third trimester, left ventricle and right atrium. There was no significant change in right ventricular diameter during pregnancy. During pregnancy and delivery, the atrial septum bonded closely with the occluder and the position was not changed. Conclusion the enlargement of left atrium in pregnant women after atrial septal defect closure has no significant effect on the location and morphology of occluder, which suggests that safe pregnancy and delivery can be achieved after closure of atrial septal defect. Keywords
【作者单位】：福建医科大学附属泉州市第一医院超声心动图室;福建医科大学附属泉州市第一医院心内科;福建医科大学附属泉州市第一医院心外科;福建医科大学附属泉州市第一医院妇产科;
【分类号】：R445.1;R715.3

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