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目的探讨心脏超声对膜部瘤型室间隔缺损介入治疗的临床应用价值。方法对40例行介入封堵的膜部瘤型室间隔缺损患者,术前行筛选分型,将膜部瘤型室间隔缺损的解剖特点分为漏斗型、喷头型、漏斗管型、膜部瘤型,并术中监测及术后复查。结果40例膜部瘤室间隔缺损中,漏斗型10例、膜部瘤型20例、喷头型4例及漏斗管型6例,全部成功封堵,术中造影证实术前超声测量膜部瘤室间隔缺损部位、形态、大小(包括右室面缺损外口大小数目、左室面缺损内口、膜部瘤深度、宽度)与实际一致,封堵成功,3d后经胸超声检查未见残余分流。结论经胸彩色超声心动图在膜部瘤型室间隔缺损封堵术前有着重要的指导应用价值。
Objective To investigate the clinical value of echocardiography in the interventional treatment of membranous tumorous ventricular septal defect. Methods 40 patients with membranous ventricular septal defect involved in the occlusion of the membrane were preoperatively screened and classified. The anatomic characteristics of the ventricular septal defect in the membrane were divided into funnel, nozzle, funnel, Tumor type, intraoperative monitoring and postoperative review. Results 40 cases of membranous ventricular septal defect, 10 cases of funnel, 20 cases of membranous tumor, 4 cases of nozzle and funnel tube in 6 cases, all of the successful block, intraoperative angiography confirmed preoperative ultrasonographic measurement of membrane tumor Ventricular septal defect location, shape, size (including the size of the right ventricular defect outside the mouth, the left ventricular defect in the mouth, the depth and width of the membrane tumor) with the actual, successful closure, 3d after transthoracic ultrasound showed no residual Shunt. Conclusion The transthoracic echocardiography has an important guiding value in the occlusion of membranous tumor of ventricular septal defect.