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題 名 | Usefulness of Intraoperative Transesophageal Echocardiography in the Assessment of Surgical Repair of Pediatric Ventricular Septal Defects with Video-Assisted Endoscopic Techniques in Children=小兒使用經食道心臟超音波來評估視訊輔助內視鏡技術於心室中隔缺損修復之成效 |
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作 者 | 何綺月; 陳昶馗; 楊敏文; 朱肇基; 林萍章; | 書刊名 | 長庚醫學 |
卷 期 | 27:9 2004.09[民93.09] |
頁 次 | 頁646-653 |
分類號 | 417.6231 |
關鍵詞 | 經食道心臟超音波; 視訊輔助內視鏡技術; 心室中隔缺損; Ventricular septal defect; Transesophageal echocardipgraphy; Video-assisted endoscopic technique; |
語 文 | 英文(English) |
中文摘要 | 背景:經由視訊輔助內視鏡技術來縫補小兒心室中隔缺損的這種顯微心臟手術,在兒童心臟外科領域已經獲得廣泛的注意與重視。術前要如何做正確的診斷,以及術後評估是否有殘餘的缺損,經食道心臟超音波在手術中扮演著極為重要的角色。 方法:共有65位病人(男生30人,女生35人,年齡平均8.7[]5.3歲),皆接受心臟顯微手術來修補心室中隔缺損,術中使用Hewlett-Packard彩色都卜勒小兒經食道超音波來做全程的監測。 結果:所有病人都成功地完成缺損修補。62人術後沒有殘餘的分流,或者主動脈瓣逆流的現象。另外3人在修補後發現有殘留的破損,其中1人因為破損大於3 mm,所以立即再度使用心肺循環重新進行手術;另1人因經食道超音波發現,除了有出口型膜性心室中隔缺損之外,還多了二處肌肉型心室中隔缺損,所以放棄「視訊輔助內視鏡技術」,改採傳統正中胸骨切開術來手術。 結論:我們的研究顯示,經食道心臟超音波提供了很有價值且正確的訊息,對於視訊輔助內視鏡心室中隔缺損線縫補術有很多的幫助,不論是術前的評估,修補成效的立即判斷,以及預防避免反覆的手術,和減少因殘留血流所導致的後遺症,都有很顯著的貢獻。 |
英文摘要 | Background: Mini cardiac operative procedures with video-assisted endoscopic techniques for closure of ventricular septal defects (VSDs) in pediatric patients have become quite popular for cardiac surgery. A precise diagnosis is very important for determining the surgical approach, and evaluation by intraoperative transesophageal echocardiography (TEE) plays a major role in confirmation of the preoperative diagnosis, residual defects, and the need to return to the bypass after repair. Methods: Sixty-five patients (30 boys and 35 girls; aged 8.7[]5.3 years) who were undergoing minimally invasive closure of VSDs were monitored with a Hewlett-Packard color Doppler pediatric TEE throughout the procedure. Results: Closure of the defect was successfully performed in all patients. Sixty-two patients showed neither residual shunt nor aortic regurgitation after the repair. Residual leaks were detected intraoperatively in 3 patients after the repair. One patient required a return to the bypass with an immediate reoperation due to a residual color jet diameter of >3 mm. One patient was changed from video-assisted endoscopic techniques to a surgical approach for closure of the VSD from a conventional median sternotomy after identification by TEE of an outlet-type perimembranous VSD with 2 additional muscular VSDs. Conclusions: Our study showed that, with refinement of surgical closure of VSD via video-assisted endoscopic techniques, intraoperative TEE provides valuable and accurate information for decision-making in surgical management , provides immediate assessment of surgical repairs, and prevents reintervention and the morbidity associated with residual flow. |
本系統中英文摘要資訊取自各篇刊載內容。