摘要
目的 探究分析小儿先天性心脏病室间隔缺损经导管介入治疗与外科手术治疗的效果。方法 时间2022年1月至2024年1月，对象：小儿先天性心脏病室间隔缺损患儿共62例，分组：随机分为对照组与观察组。对照组采用外科手术治疗，观察组采用经导管介入治疗，对比两组临床相关指标；并发症发生率以及手术成功率。结果 观察组优于对照组，P＜0.05。结论 经导管介入治疗能够更好地改善患者病情状态，缩短患儿手术时间，住院时间，控制患儿并发症发生率，确保手术成功率的提升，值得推广与应用。
关键词： 小儿先天性心脏病室间隔缺损；经导管介入治疗；临床相关指标；并发症发生率；手术成功率
Abstract
Objective To explore the effect of transcatheter interventional therapy and surgical treatment of ventricular septal defect in pediatric congenital heart disease. Methods From January 2022 to January 2024, target: 62 children with congenital ventricular septal defect, group: randomly divided into control group and observation group. The control group used surgical treatment, and the observation group used transcatheter intervention to compare the two groups with clinically relevant indicators; complication rate and surgical success rate. Results The observed group was better than the control group with P <0.05. Conclusion Transcaural catheter intervention therapy can better improve the condition of patients, shorten the operation time, hospital stay, control the incidence of complications, and ensure the improvement of the success rate of surgery, which is worthy of promotion and application.
Key words： Ventricular septal defect in pediatric congenital heart disease; Transcatheter intervention; Clinical indicators; Complication rate and surgical success rate
参考文献 References
[1] 刘慧敏,陈梅,闵卫红,等.导管介入封堵治疗先天性心脏病患儿室间隔缺损的疗效观察[J].现代医学,2024, 52(03): 461-465.
[2] 范艳娇.134例儿童经导管膜周部室间隔缺损封堵术后外周血hs-cTnT变化及临床意义[D].山东大学,2023.
[3] 中华儿科杂志编辑委员会,《中华医学杂志英文版》编辑委员.先天性心脏病经导管介入治疗指南[J].中华儿科杂志,2004,42(3):234-239.
[4] 陈捷,傅立军,杜军保.《儿童常见先天性心脏病介入治疗专家共识》解读[J].中国医刊,2015(5):22-24,25.
[5] 王星烨,何璐,杜亚娟,等.嵴内型室间隔缺损介入治疗中远期随访及评价[J].心脏杂志,2021,33(04):396-402.
[6] 刘一,齐文娟,李伟.经导管介入治疗先天性心脏病疗效观察[J].中外医疗,2012,31(7):25-26.
[7] 姚浩.膜周部室间隔缺损介入治疗术后新发传导阻滞危险因素的META分析[D].重庆医科大学,2020.
[8] 张波,孙浩峰,任超,等.经导管介入封堵治疗室间隔缺损修补术后残余漏42例临床观察[J].山东医药,2022,62 (28): 84-86.
[9] 侯强,李凯,闫东.经导管介入治疗与外科手术治疗小儿先天性心脏病室间隔缺损的效果对比[J].临床医学工程,2022,29(03):313-314.
[10] 何璐,杜亚娟,王星烨,等.应用改良的动脉导管未闭封堵器经导管闭合三尖瓣腱索附着异常的膜周部室间隔缺损[J].心脏杂志,2021,33(04):384-389.