偏心型封堵器经皮介入封堵室间隔缺损与外科对比研究Contrastive research of ventricular septal defect treatment: interventional occlusion using asymmetric occluders and surgical procedures
龙恺,尚小珂,宋来春,张刚成
摘要(Abstract):
目的比较偏心型封堵器与传统外科手术治疗干下型室间隔缺损(VSD)的疗效及并发症情况。方法回顾性分析2005年3月至2012年3月在武汉亚洲心脏病医院治疗的干下型VSD病例102例,其中使用偏心型封堵器经皮介入封堵治疗52例(介入组),同期行外科开胸手术50例(外科组)。比较两组患者术后的疗效、并发症及预后情况。结果介入组52例患者中40例(76.9%)手术成功,发生并发症12例(23.1%)。外科组50例中成功47例(94.0%),发生并发症3例(6.0%)。随访2~12个月,两组患者均未见死亡病例。结论与传统外科手术相比,偏心型封堵器治疗干下型VSD,成功率低、并发症发生率高,需慎重选择治疗方案。
关键词(KeyWords): 室间隔缺损;心脏导管插入术;外科手术;对比研究
基金项目(Foundation):
作者(Author): 龙恺,尚小珂,宋来春,张刚成
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