首页|经导管介入与手术在小儿先天性心脏病室间隔缺损中的应用疗效及预后影响比较

经导管介入与手术在小儿先天性心脏病室间隔缺损中的应用疗效及预后影响比较

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目的:在小儿先天性心脏疾病室间隔缺损中采取经导管介入、手术治疗,探索分析其临床应用疗效及预后影响。方法:选取 2021 年 3 月—2023 年 3 年福建医科大学附属漳州市医院收治的 68 例患儿(均确诊为小儿先天性心脏病室间隔缺损)作为研究对象,根据患儿临床不同手术方式将其划分为对照组(外科手术)与观察组(经导管介入),每组各 34 例,比较不同手术治疗疗效及患儿预后。结果:观察组封堵成功率(治疗有效率)与对照组比较,差异无统计学意义(P>0。05);与对照组比较,观察组手术时间、术中出血量、总住院时间均更低,差异有统计学意义(P<0。05);与对照组比较,观察组术后并发症发生率更低,差异有统计学意义(P<0。05)。观察组手术后左室射血占数(LVEF)高于对照组,但是手术后左室收缩内径(LVEDD)、左室舒张末期内径(LVESD)均低于对照组,差异有统计学意义(P<0。05)。结论:经导管介入治疗小儿先天性心脏病室间隔缺损疗效显著,能提升患者术后心功能水平,降低并发症发生率。
Comparison of the Effect and Prognosis of Transcatheter Intervention and Operation in Children with Ventricular Septal Defect in Congenital Heart Disease
Objective:To explore and analyze the clinical efficacy and prognostic influence of transcatheter intervention and operation for ventricular septal defect in children with congenital heart disease.Method:A total of 68 children(all were diagnosed with ventricular septal defect in children with congenital heart disease)admitted to Zhangzhou Hospital,Fujian Medical University from March 2021 to March 2023 were selected as the study objects,and the children were divided into control group(surgical operation)and observation group(transcatheter intervention)according to different clinical surgical methods,with 34 cases in each group.The curative effect and prognosis of different surgical treatment were compared between the two groups.Result:There was no significant difference in the comparsion of success rate(effective rate)between the observation group and the control group(P>0.05).Compared with the control group,the operative time,intraoperative blood loss and total hospital stay in the observation group were lower,and the difference was statistically significant(P<0.05).Compared with the control group,the incidence of postoperative complications was lower in the observation group,and the difference was statistically significant(P<0.05).After operation,left ventricular ejection fraction(LVEF)in observation group was higher than that in control group,but left ventricular end-diastolic dimension(LVEDD)and left ventricular end-systolic diameter(LVESD)were lower than those in control group(P<0.05).Conclusion:Transcatheter intervention in the treatment of ventricular septal defect in children with congenital heart disease is effective,can improve the level of postoperative cardiac function,reduce the incidence of complications.

Transcatheter interventionSurgeryCongenital heart disease in childrenVentricular septal defectEfficacy and prognosis

蔡海明、林志滨、张旭、林惠泉

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福建医科大学附属漳州市医院 福建 漳州 363000

经导管介入 手术 小儿先天性心脏病 室间隔缺损 疗效及预后

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(36)