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目的评价经导管介入方法治疗小年龄儿童室间隔缺损的临床疗效。方法回顾性分析2011年1月至2012年12月于广东省心血管病研究所行室间隔缺损封堵术3岁以下患儿的临床资料、疗效及随访结果。结果共184例患儿,176例(95.7%)封堵成功,所有病例均无血管并发症发生,13例术后存在微-少量残余分流,2例出现三尖瓣血流速度增快,1例于术后半年出现迟发型Ⅲ度房室传导阻滞。结论小年龄儿童室间隔缺损的经导管介入治疗成功率高,其安全性有待长期随访观察,严格掌握介入封堵适应证、选择合适的器械、熟练掌握婴幼儿血管穿刺技术、良好的麻醉管理是手术成功的关键。
Objective To evaluate the clinical efficacy of transcatheter intervention in the treatment of ventricular septal defects in young children. Methods The clinical data, curative effect and follow-up results of children under 3 years old with ventricular septal defect occlusion in Guangdong Cardiovascular Institute from January 2011 to December 2012 were retrospectively analyzed. Results A total of 184 infants were successfully blocked in 176 cases (95.7%). No vascular complications occurred in all the cases. Micro-small remnant shunt occurred in 13 cases, tricuspid valve blood flow increased in 2 cases, For example, delayed type III degree atrioventricular block appeared in six months after operation. Conclusion The success rate of transcatheter interventional ventricular septal defect in children with small age is high, and its safety needs long-term follow-up observation. Strictly grasping the indication of interventional closure, choosing appropriate instruments, mastering the vascular puncture technique in infants and young children, good anesthesia management is The key to successful operation.