论文部分内容阅读
目的:报道使用国产封堵器介入治疗膜部瘤型室间隔缺损(VSD)的体会。方法:经彩色多普勒超声心动图和左心室造影证实有适应证的并发膜部瘤形成的VSD患者20例,行介入封堵治疗,并根据膜部瘤形态进行分型,制定封堵策略,选择封堵器和封堵方式。结果:①20例患者均封堵成功,技术成功率达100%,无介入并发症发生;②20例膜部瘤呈4种类型,漏斗型8例、囊袋型5例、菜花型5例、弯管型2例;③根据缺损口大小及膜部瘤类型分别使用细腰大边型、非对称型、对称型封堵器均封堵成功;④改良猪尾导管在膜部瘤型VSD封堵术中效果显著。结论:国产封堵器介入封堵膜部瘤型VSD患者安全、有效、并发症少、费用低,可作为有封堵适应证VSD患者的首选方案。
Objective: To report the experience of interventional treatment of membranous tumorous ventricular septal defect (VSD) with domestic occluder. Methods: Twenty patients with VSD complicated with membranous neoplasia confirmed by color Doppler echocardiography and left ventricular angiography were involved in the occlusion therapy. According to the morphology of the membranous neoplasms, the occlusion strategy was established , Choose the occluder and sealing method. Results: ①Twenty patients were successfully blocked and the technical success rate was 100%, no complications were involved. ② There were 4 types of meningioma in 20 cases, 8 cases of funnel type, 5 cases of capsular bag type, 5 cases of cauliflower type, 2 cases of tube type; ③ According to the size of the defect and the type of membranous tumor, respectively, the use of small-edge large-edge type, asymmetric, symmetrical occluder were blocked; ④ modified pig tail duct tumor in the VSD closure In the remarkable effect. CONCLUSION: Domestic occluders are safe and effective in the treatment of occlusive membranous neovascular VSD patients with few complications and low cost, which can be used as the first choice for patients with VSD with occlusive indications.