本文選題：超聲心動圖　切入點：房間隔缺損　出處：《實用醫(yī)學(xué)雜志》2017年05期

【摘要】：目的:運用超聲心動圖評價房間隔缺損(ASD)成功施行封堵術(shù)后遠期臨床療效。方法:采用前瞻性隊列研究方法,共納入符合標準患者70例。治療組48例,采用封堵術(shù)治療+常規(guī)治療;對照組22例,常規(guī)治療。采用經(jīng)胸超聲心動圖(TTE)技術(shù)評價患者術(shù)前、術(shù)后1年內(nèi)各時間點右房、右室結(jié)構(gòu)及功能的變化。結(jié)果:結(jié)構(gòu)方面,治療組與對照組比較,RAEDd、RAEDdd、IVC、RVEDd、RVEDdz、RVEDdc、PASP各時點比較差異均有統(tǒng)計學(xué)意義(P0.05),治療組各時間點與術(shù)前比較差異有統(tǒng)計學(xué)意義(P0.05),時間因素與各指標存在線性關(guān)系與交互作用結(jié)果差異有統(tǒng)計學(xué)意義(P0.01)。功能指標方面,治療組與對照組比較,RIMP、RVEF、TAPSE、FAC術(shù)后各時間點比較差異有統(tǒng)計學(xué)意義(P0.05),治療組各時間點與術(shù)前比較差異有統(tǒng)計學(xué)意義(P0.05),時間因素與各指標存在線性關(guān)系與交互作用結(jié)果差異有統(tǒng)計學(xué)意義(P0.01)。結(jié)論:封堵術(shù)后患者右房、右室逐漸縮小,右心室功能逐漸恢復(fù),因觀察時間較短,其穩(wěn)定性難以評估,需要更長時間的觀察;非手術(shù)患者右心結(jié)構(gòu)與功能緩慢變差,應(yīng)及早治療。
[Abstract]:Objective: to evaluate the long-term clinical effect of ASD after transcatheter closure of atrial septal defect (ASD) by echocardiography.Methods: a prospective cohort study was conducted in 70 patients.In the treatment group, 48 cases were treated by blocking operation, and 22 cases in the control group were treated by routine therapy.The changes of structure and function of right atrium and right ventricle were evaluated by transthoracic echocardiography before operation and 1 year after operation.Results: structurally,娌葷枟緇勪笌瀵圭収緇勬瘮杈，

本文編號：1714376