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目的探讨先天性心脏病介入治疗的临床疗效。方法回顾分析该院2003年6月￣2005年4月连续施行的先天性心脏病介入治疗285例,其中动脉导管未闭(PDA)封堵术87例,房间隔缺损(ASD)封堵术104例,室间隔缺损(VSD)封堵术75例,肺动脉瓣狭窄球囊扩张术(PBPV)15例,冠状动脉瘘栓塞术4例;采用经皮穿刺股静脉和/或股动脉法,术前、术后行左、右心导管造影检查。结果技术成功率97.54%(278/285),并发症2.81%(8/285),紧急手术0.70%(2/285),死亡率0.35%(1/285)。结论先天性心脏病介入治疗具有成功率高、创伤小、并发症及死亡率低等特点,对大部分病例可替代外科手术。
Objective To investigate the clinical effect of interventional treatment of congenital heart disease. Methods A total of 285 patients with congenital heart disease undergoing continuous intervention from June 2003 to April 2005 were retrospectively analyzed. Among them, 87 cases of patent ductus arteriosus (PDA) and 104 cases of atrial septal defect (ASD) 104 Among them, 75 cases were occluded of ventricular septal defect (VSD), 15 cases of pulmonary valve stenosis balloon angioplasty (PBPV) and 4 cases of coronary artery fistula embolization. Percutaneous puncture of femoral vein and / or femoral artery, Postoperative left and right cardiac catheterization. Results The technical success rate was 97.54% (278/285), complications were 2.81% (8/285), emergency surgery was 0.70% (2/285) and the mortality rate was 0.35% (1/285). Conclusion Interventional treatment of congenital heart disease has the characteristics of high success rate, small trauma, low complication rate and mortality, and can replace surgical operation in most cases.