卵圆孔未闭封堵术的研究进展
李建雄1 王峰2 陈开远1 胡选义1
1.贵州医科大学附属医院心脏外科,贵州贵阳 550004;
2.遵义医科大学第二附属医院胸心甲乳外科,贵州遵义 563000
Research progress on closure of patent foramen ovale
LI Jianxiong1 WANG Feng2 CHEN Kaiyuan1 HU Xuanyi1
1.Department of Cardiac Surgery, the Affiliated Hospital of Guizhou Medical University, Guizhou Province, Guiyang 550004, China;
2.Department of Cardiovascular Thoracic, Breast & Thyroid Surgery, the Second Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
摘要 卵圆孔未闭是最为常见的先天性心脏病之一,其与隐源性脑卒中、偏头痛、减压病、斜卧呼吸-直立性低氧血症等疾病之间存在密切联系,对高危人群的预防性封堵及对住院患者的治疗性封堵已在临床广泛开展。随着治疗理念的改变及医疗水平的提高,卵圆孔未闭封堵术也发展出涉及不同手术入路及引导方式的多种变式。本文就卵圆孔未闭封堵术的相关应用进展进行综述,以期为临床评估卵圆孔未闭患者最佳手术方式提供新思路。
关键词 :
卵圆孔未闭 ,
经皮介入 ,
超声心动图引导 ,
射线引导 ,
封堵器
Abstract :Patent foramen ovale is one of the most common congenital heart diseases, which is closely related to cryptogenic stroke, migraine, decompression illness, platypnea-orthodeoxia syndrome and other diseases. Preventive closure for high-risk population and therapeutic closure for inpatients have been widely carried out in clinic practice. With the change of treatment concept and the improvement of medical level, the closure of patent foramen ovale has developed a variety of variants involving different surgical approaches and guidance methods. This article reviews the application of patent foramen ovale occlusion, in order to provide new ideas for clinical evaluation of the best surgical method for patients with patent foramen ovale.
Key words :
Patent foramen ovale
Percutaneous intervention
Echocardiography guidance
X-ray guidance
Occluder
基金资助: 国家自然科学基金资助项目(81660074);
贵州省研究生科研基金项目(黔教合YJSCXJH〔2019〕074)。
通讯作者:
胡选义(1965.10-),男,主任医师,硕士生导师;研究方向:心脏外科。
作者简介 : 李建雄(1994.12-),男,贵州医科大学2018级心脏外科专业在读硕士研究生;研究方向:心脏外科。
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