刘亚洋,李鹤,朱源生

• 1:淮安市第二人民医院心内科徐州医科大学附属淮安医院心内科
• 2:淮安市中医院心内科

摘要(Abstract)：

目的 探讨心腔内超声（ICE）在卵圆孔未闭（PFO）封堵术中的应用效果及安全性。方法 回顾性分析2021年3月至2022年9月于淮安市第二人民医院心内科使用ICE行PFO封堵术的病例。收集患者的临床资料、手术相关指标，术后随访残余分流、并发症等指标。结果 共入选41例患者，其中男16例，女25例，年龄25～63岁。PFO位置分布均在ICE短轴切面的房间隔偏前、偏上的位置，ICE短轴左心耳切面可作为工作切面。ICE导管的到位、PFO的定位和测量、封堵器的定位、释放等环节均可在零射线下完成。所有患者术中均顺利完成了介入封堵，未出现股动静脉瘘、穿刺处血肿、心脏压塞、脑梗死、恶性心律失常等严重并发症。无封堵器栓塞及移位。在6个月的随访过程中，无新发脑梗死，相关临床症状、肝肾功能无明显异常。经颅多普勒发泡试验和经胸超声心动图右心声学造影右向左分流分级，术前及术后6个月比较，差异均有统计学意义（均P<0.01）。15例偏头痛患者头痛影响测验-6评分术前与术后6个月比较，差异有统计学意义[（66.64±5.68）分比（38.14±5.04）分，P<0.01]。结论 使用ICE行PFO封堵术，可明确PFO类型，并实现精确封堵。使用ICE进行术中监测，可以提高手术安全性，避免严重手术并发症发生。

关键词(KeyWords)： 卵圆孔未闭;心腔内超声;隐源性脑卒中;残余右向左分流

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 刘亚洋,李鹤,朱源生

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