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目的探讨经食道超声心动图(TEE)在心内膜垫缺损(ECD)矫治术中的应用价值。方法选择本院收治的ECD患者65例分为对照组23例和观察组42例,全部患者均进行ECD矫治术。两组均在术前常规进行经TTE检查,此外,观察组在术中进行TEE监测。比较两组的平均手术时间、平均建立体外循环时间、心脏指标,以及术后并发症发生情况。结果观察组的平均手术时间、平均建立体外循环时间均显著少于对照组,治疗后的各项心脏均显著优于对照组,术后并发症发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论 ECD矫治术中应用TEE监测,可清晰显示心脏各腔室结构,缩短体外循环建立时间,降低术后并发症发生率,临床效果确切,值得推广应用。
Objective To investigate the value of transesophageal echocardiography (TEE) in the treatment of endocardial cushion defect (ECD). Methods Sixty-five ECD patients admitted to our hospital were divided into control group (n = 23) and observation group (n = 42). ECD was performed in all patients. TTE was routinely performed in both groups before surgery. In addition, TEE monitoring was performed in the observation group during the operation. The mean operative time, average cardiopulmonary bypass time, cardiac index, and incidence of postoperative complications were compared between the two groups. Results The average operation time and average cardiopulmonary bypass time in the observation group were significantly less than those in the control group. All the hearts after treatment were significantly better than those in the control group. The incidence of postoperative complications was significantly lower than that of the control group Significance (P <0.05). Conclusion The application of TEE monitoring in ECD corrective surgery can clearly show the structure of the heart chamber, shorten the establishment of cardiopulmonary bypass and reduce the incidence of postoperative complications, the clinical effect is exact and should be popularized and applied.