介入封堵儿童动脉导管未闭疗效分析

Analysis on the efficacy of interventional therapy in the treatment of patent ductus arteriosus in children

摘要:

目的：探讨介入治疗儿童动脉导管未闭（Patent ductus arteriosus,PDA）的临床疗效。方法：回顾分析2007年11月-2010年12月在本院作经皮PDA封堵的63例病人资料，着重分析动脉导管的测量、手术方法、临床疗效。结果:典型PDA经胸超声测量值与造影后X线测量值差异无统计学意义，但在小型和大型PDA中两者差异有统计学意义；所有病人中61例封堵成功，其中7例植入弹簧圈，其余54例采取蘑菇伞堵闭器封堵成功。结论：经皮PDA封堵术安全有效，术中注重患者的个体情况，注意操作细节，能更好地避免并发症，提高成功率。

Abstract:

Objective:To explore the efficacy of interventional therapy in the treatment of patent ductus arteriosus (PDA) in children.Methods:Totally 63 patients with PDA in our hospital from November 2007 to December 2010 were treated by transcatheter closure.Their clinical data were retrospectively analyzed focusing on the measurement of arterial ducts,operation methods and therapeutic results.Results:There was no significant difference in the measurements between transthoracic echocardiography (TTE) and aortography in typical PDA cases,but there were significant differences between small and large PDA cases.The devices were successfully implanted in 61 cases,among which coils were implanted in 7 cases and Amplatzer duct occluder in 54 cases.Conclusion:Transcatheter PDA occlusion is safe and effective.Success rate can be improved and complications can be avoided if due attention is paid to the individual condition and operational details.