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目的应用房间隔封堵器治疗继发孔型房间隔缺损(ASD),对其右心改变进行评价,并与同期外科手术治疗的病例进行比较。方法应用封堵器治疗房间隔缺损21例,同期外科手术治疗23例,对两种方案手术前后的右心相关指标进行对比分析。结果两组疗效均佳,封堵治疗组较外科手术组右心系统回缩及心功能恢复早。结论应用房间隔封堵器是治疗继发孔型房间隔缺损的有效方法,操作简便,成功率高,疗效可靠,在适应证允许下可替代外科手术。
Objective To evaluate the changes of right ventricular septal defect (ASD) by atrial septal occluder and compared with the surgical treatment of the same period. Methods Occluder was used to treat atrial septal defect in 21 cases and surgical treatment in the same period was performed in 23 cases. Contrastive analysis was made between right ventricular systolic pressure before and after the two regimens. Results The curative effect was good in both groups, and the occlusion treatment group had earlier recovery of right ventricular systolic function and cardiac function than the surgical operation group. Conclusion Atrial septal occluder is an effective method for the treatment of atrial septal defect. It has the advantages of simple operation, high success rate and reliable curative effect. It can replace the surgical operation if the indication permits.