介入封堵与外科手术治疗主动脉窦瘤破裂的疗效及安全性

发布时间：2018-06-25 22:39

本文选题：Valsalva窦 + 心导管插入术　；参考：《中国介入影像与治疗学》2015年04期

【摘要】：目的比较介入封堵与外科手术治疗主动脉窦瘤破裂(RSVA)的疗效及安全性。方法选取RSVA患者22例,介入封堵治疗10例(介入组),外科手术治疗12例(手术组)。术后随访6—24个月,比较两组临床症状、是否存在残余分流、有无瓣膜反流、封堵器有无移位、肺动脉压变化及心功能状态。结果介入组均完全封堵;与术中比较,术后肺动脉收缩压、肺动脉平均压均降低,差异均有统计学意义(P均0.05);术后即刻造影示少量残余分流1例。手术组完全封堵率为91.67%(11/12);术后出现较大的残余分流和严重低心排量综合征各1例。两组随访期内均未发生右心衰竭、栓塞、感染性心内膜炎、主动脉瓣反流、溶血和死亡等。结论介入封堵治疗主动脉窦瘤破裂与外科修补疗效相当,且具有较好的安全性。
[Abstract]:Objective to compare the efficacy and safety of interventional closure and surgical treatment for ruptured aortic sinus aneurysm (RSVA). Methods 22 patients with RSVA were selected, 10 patients were treated by interventional occlusion (interventional group) and 12 patients were treated by surgery (operation group). The clinical symptoms, residual shunt, valvular regurgitation, translocation of occluder, pulmonary artery pressure and cardiac function were compared between the two groups. Results in the interventional group, the pulmonary artery systolic pressure and the mean pulmonary artery pressure were significantly lower than those in the intraoperative group (P 0.05), and a small amount of residual shunt was found in 1 case immediately after operation. The complete closure rate was 91.67% (11 / 12) in the operation group, and there were 1 case of large residual shunt and 1 case of severe low cardiac output syndrome after operation. There were no right heart failure, embolism, infective endocarditis, aortic valve regurgitation, hemolysis and death in both groups. Conclusion Interventional closure for ruptured aortic sinus aneurysm is equivalent to surgical repair and has good safety.
【作者单位】：第二军医大学附属长海医院心内科;
【分类号】：R654.3;R816.2

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