房间隔缺损介入治疗和外科手术的对比分析.doc

【摘要】目的:比较经导管封堵与外科手术治疗继发孔型房间缺损(ASD) 的疗效、安全性和费用情况。方法: 采用相同的入选标准, 选择继发孔型 ASD 患者 148 人, 其中介入治疗组 82例, 外科手术组 66例。应用回顾性对比研究方法, 比较两组的疗效、并症和费用情况。结果:介入治疗组和外科手术组的成功率分别为 % 和 100% (P=) , 术后残分流率分别为 % 和 % (P= )。心律失常为最常见并发症, 介入组低于外科组( % ∶ % , P<0. 05); 介入组中无1 例患者需要输血, 外科组中全部患者需要输血( P< 1); 介入组和外科组操作时间分别为(48± ) mi n和( 158 ± 16. 4) min ( P<0 .001 ); 介入组住院天数短于外科组[( ± )d∶( ± )d, P< ]。介入组和外科组治疗费用分别为( 267 29± 1675 )元和( 22393 ± 173 9 )元(P< ) 。结论:外科手术较经导管封堵术成功率稍高、适应症广, 但经导管封堵术却有手术时间短、并发症发生率低、创伤小、恢复快等优点。【关键词】心脏导管插入术外科手术房间隔缺损 Contra st analysi s between transcath eter and s urgical cl osure meth ods in pat ients with atrial se ptal defec t/WU Guang |wei, LIN Ying|zhon g, WANG Me ng|jie , LU Zhi|hong,Z HAO Yi|lan , HU Chang |xing// Abstract : Objective: pare the safet y, effica cy, compli cations and cost bet ween trans catheter a nd surgica l closure methods in patients with atri al septal defect (AS D).Methods :Retrospec tive analy sis was do ne on 148 patients w ith second um atrial septa l def ects: 66c ases were treated su rgically a nd 82 case s were tr eated byt ranscathet er closure .The safet y, effica cy, compli cations and cost bet ween two g roups pared. Results:Th e instant procedural ess r ate was 95 .1% for t he transca theter clo sure group and 100% for the s urgical cl osure grou p (P= ).plicati on rates b oth of the transc