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目的探讨超声心动图在室间隔缺损(VSD)膜部瘤封堵术中监测的方法和价值。方法47例VSD膜部瘤患者经胸超声心动图监测下行经心导管封堵术。结果超声监测下,41例VSD膜部瘤封堵成功(4例术后有轻微残余分流);6例封堵失败(3例主动脉瓣脱垂,2例右室面缺口小,1例三尖瓣隔瓣部分与瘤粘连)。结论超声心动图能够正确估测VSD膜部瘤的大小和位置,利于术前病例选择、术中监测封堵器放置和并发症发生。超声心动图在VSD膜部瘤封堵术中的监测有着不可替代的重要价值。
Objective To investigate the method and value of echocardiography in the monitoring of membranous tumor closure in ventricular septal defect (VSD). Methods Forty-seven patients with VSD meningiomas underwent transthoracic echocardiography with transcatheter closure. Results In 41 cases of VSD, tumor occlusion was successful (4 patients had mild residual shunt) after sonographic monitoring; 6 patients failed to seal off (3 cases of aortic valve prolapse, 2 cases of right ventricular defect, 1 case of 3 Mitral valve flap part and tumor adhesions). Conclusion Echocardiography can correctly estimate the size and location of VSD membranous neoplasms, which is conducive to the selection of preoperative cases, intraoperative monitoring of occluder placement and complications. Echocardiography in the VSD membranous tumor closure has an irreplaceable value.