摘要
目的探讨上腔边缘不足房间隔缺损介入封堵与直视修补的临床应用价值。方法选取2012年1月到2019年12月期间在我院接受治疗的106例上腔边缘不足房间隔缺损患者纳入本次研究,其中58例患者接受介入封堵手术治疗作为研究组,48例患者接受体外循环直视修补手术治疗作为观察组,对比两组患者手术治疗情况、残余分流情况以及并发症情况。结果研究组手术进行时间(33.27±7.60)min、术后住院时间(3.80±2.30)d、治疗费用(21770.15±1010.00)元,观察组手术进行时间(130.45±31.45)min、术后住院时间(7.25±3.15)d、治疗费用(35699.55±1055.52)元,研究组各项指标低于观察组(P<0.05),研究组修复成功率与观察组无显著差异(100.00%比96.55%)(P>0.05)。手术后患者残余分流情况差异不明显(3.45%比6.25%)(P>0.05);研究组并发症率1.72%低于观察组并发症率20.83%,差异具有统计学意义(P<0.05)。结论两种术式术后残余分流情况、修复成功率近似,均可有效修复上腔边缘不足房间隔缺损,但介入封堵手术进行时间、术后住院时间低于体外循环直视修补手术,介入封堵手术并发症率较低,临床应用时要充分考虑患者实际情况作出合理选择。
Objective To explore the clinical application effect of interventional closure fon atrial septal defect with insufficient upper cavity margin.Methods A total of 106 patients with atrial septal defect who received treatment in our hospital from January 2012 to December 2019 were included in this study.Of these patients,58 patients received percutaneous closure treatment as the study group and 48 patients were given extracorporeal circulation repair surgery as the observation group.The surgical treatment,residual shunt status and complications were compared.Results In the study group,the operation time was(33.27 ± 7.60) min;the postoperative hospital stay was(3.80 ± 2.30) d;and the treatment cost was(21770.15 ± 1010.00) yuan.In the observation group,the operation time was(130.45±31.45) min;the postoperative hospital stay was(7.25±3.15) d;and the treatment cost was(35699.55±1055.52) yuan.The indexes of the study group were lower than those of the observation group(P<0.05).There was no significant difference in the repair success rate between 2 groups(100.00% vs.96.55%)(P>0.05).There was no significant difference in residual shunt after operation(3.45% vs.6.25%)(P>0.05).The complication rate of the study group(1.72%) was lower than that of the observation group(20.83%) and the difference was statistically significant(P<0.05).Conclusion The residual shunt situation and repair success rate of the two surgical methods are similar,and both can effectively repair the septal defect.However,the ventilator tube,and the postoperative hospital stay of the interventional closure operation are shorter than the cardiopulmonary bypass surgery.The former has a lower complication rate.It is necessary to fully consider the actual situation of the patient to make a reasonable choice in clinical application.
作者
杭永斌
唐跃
李波
郎济禄
孙子瑞
刘煜昊
HANG Yong-bin;TANG Yue;LI Bo;LANG Ji-lu;SUN Zi-rui;LIU Yu-hao(Cardiovascular Center,The Seventh Affiliated Hospital,Sun Yat-sen University,Shenzheng 518000,China;Structural Heart Disease Ward,Fuwai Central China cardiovascular Hospital,Zhengzhou 50000,China)
出处
《中国心血管病研究》
CAS
2022年第1期73-76,共4页
Chinese Journal of Cardiovascular Research
关键词
上腔边缘不足房间隔缺损
介入封堵
直视修补
对比研究
Atrial septal defect with insufficient upper cavity margin
Interventional closure
Direct vision repair
The comparative study
作者简介
通信作者:刘煜昊,E-mail:camsliu@163.com。
