PDF(Pubmed)
Abstract：
UNASSIGNED: To compare the effectiveness of transthoracic echocardiography (TTE) and X-ray guided closure of patent foramen ovale (PFO).
UNASSIGNED: In this retrospective study, clinical data from 90 patients who underwent PFO occlusion surgery in the First People\'s Hospital of Yongkang from January 2020 to December 2022 were retrospectively reviewed. Among them, 43 patients underwent X-ray guided PFO occlusion surgery (X-ray group) while 47 patients underwent TTE guided PFO occlusion surgery (TTE group). Perioperative, cardiac function related indicators were measured before and after treatment, along with right-to-left shunting status, and incidence of complications in both groups.
UNASSIGNED: There was no significant difference in the duration of surgery or hospitalization between the TTE group and the X-ray group (p>0.05). After treatment, the cardiac function indicators of both groups increased compared to before treatment (p<0.05), and there was no significant difference between the groups (p>0.05). After treatment, right-to-left shunting in the two groups improved compared to before treatment (p<0.05), with no significant difference between the groups (p>0.05). There was no significant difference in complications between the two groups (p>0.05).
UNASSIGNED: TTE guided PFO occlusion is as effective as X-ray guided PFO occlusion in the treatment of PFO. TTE surgery is clinically beneficial for reducing radiation damage with a good safety profile.
UNASSIGNED: In this retrospective study, clinical data from 90 patients who underwent PFO occlusion surgery in the First People\'s Hospital of Yongkang from January 2020 to December 2022 were retrospectively reviewed. Among them, 43 patients underwent X-ray guided PFO occlusion surgery (X-ray group) while 47 patients underwent TTE guided PFO occlusion surgery (TTE group). Perioperative, cardiac function related indicators were measured before and after treatment, along with right-to-left shunting status, and incidence of complications in both groups.
UNASSIGNED: There was no significant difference in the duration of surgery or hospitalization between the TTE group and the X-ray group (p>0.05). After treatment, the cardiac function indicators of both groups increased compared to before treatment (p<0.05), and there was no significant difference between the groups (p>0.05). After treatment, right-to-left shunting in the two groups improved compared to before treatment (p<0.05), with no significant difference between the groups (p>0.05). There was no significant difference in complications between the two groups (p>0.05).
UNASSIGNED: TTE guided PFO occlusion is as effective as X-ray guided PFO occlusion in the treatment of PFO. TTE surgery is clinically beneficial for reducing radiation damage with a good safety profile.
摘要：
■比较经胸超声心动图（TTE）和X射线引导的卵圆孔未闭（PFO）闭合的有效性。
■在这项回顾性研究中，回顾性分析2020年1月至2022年12月在永康市第一人民医院接受PFO封堵术的90例患者的临床资料.其中,43例患者行X线引导下PFO封堵术（X线组），47例患者行TTE引导下PFO封堵术（TTE组）。围手术期,治疗前后测定心功能相关指标,以及从右到左的分流状态，两组的并发症发生率。
■TTE组与X线组之间的手术时间或住院时间没有显着差异（p>0.05）。治疗后,两组患者的心功能指标均较治疗前升高(p<0.05),组间差异无统计学意义(p>0.05)。治疗后,两组患者的右向左分流较治疗前有所改善(p<0.05),组间无显著差异(p>0.05)。两组并发症比较差异无统计学意义(p>0.05)。
■TTE引导的PFO闭塞在PFO的治疗中与X射线引导的PFO闭塞一样有效。TTE手术在临床上有利于以良好的安全性减少辐射损伤。
■在这项回顾性研究中，回顾性分析2020年1月至2022年12月在永康市第一人民医院接受PFO封堵术的90例患者的临床资料.其中,43例患者行X线引导下PFO封堵术（X线组），47例患者行TTE引导下PFO封堵术（TTE组）。围手术期,治疗前后测定心功能相关指标,以及从右到左的分流状态，两组的并发症发生率。
■TTE组与X线组之间的手术时间或住院时间没有显着差异（p>0.05）。治疗后,两组患者的心功能指标均较治疗前升高(p<0.05),组间差异无统计学意义(p>0.05)。治疗后,两组患者的右向左分流较治疗前有所改善(p<0.05),组间无显著差异(p>0.05)。两组并发症比较差异无统计学意义(p>0.05)。
■TTE引导的PFO闭塞在PFO的治疗中与X射线引导的PFO闭塞一样有效。TTE手术在临床上有利于以良好的安全性减少辐射损伤。
