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王瑶, 高长青, 王刚等. 术中经食管超声心动图在全机器人膜周部室间隔缺损修补中的作用[J]. koko体育app 学报（医学版）, 2013, 44(6): 991-994.
引用本文: 王瑶, 高长青, 王刚等. 术中经食管超声波心跳图在全机人膜周部室间格发育不全进行修复中的效果[J]. 河北专科大学学报（临床版）, 2013, 44(6): 991-994.
WANG Yao, GAO Chang-qing, WANG Gang. et al. Intraoperative Transesophageal Echocardiography in Robotic Perimembranous Ventricular Septal Defect Repair[J]. Journal of Sichuan University (Medical Sciences), 2013, 44(6): 991-994.
Citation: WANG Yao, GAO Chang-qing, WANG Gang. et al. Intraoperative Transesophageal Echocardiography in Robotic Perimembranous Ventricular Septal Defect Repair[J]. Journal of Sichuan University (Medical Sciences), 2013, 44(6): 991-994.

术中经食管超声心动图在全机器人膜周部室间隔缺损修补中的作用

Intraoperative Transesophageal Echocardiography in Robotic Perimembranous Ventricular Septal Defect Repair

  • 摘要: 目的 探讨术中经食管超声心动图 (transesophageal echocardiography, TEE) 在全机器人膜周部室间隔缺损 (ventricular septal defect, VSD) 修补中的作用。方法 对2009年1月至2012年8月间在我院接受全机器人膜周部VSD修补的18例住院患者的术中TEE资料进行回顾性分析。术中应用TEE的时间及目的：① 体外循环 (cardiopulmonary bypass, CPB) 转机前，进一步明确VSD 解剖类型、数目及大小，术者参考上述信息拟定手术方案；② 建立外周CPB 时，引导下、上腔静脉插管及升主动脉内心脏停搏液灌注针的置放；③ 心脏复跳后，即刻评价心室水平有无残余分流及有无手术相关并发症。结果 ①以外科医生术中所见为标准，TEE 诊断VSD 解剖类型的准确性为100％，所有患者修补VSD 均按术前拟定方案进行。②术中证实，所有患者下、上腔静脉内插管及升主动脉内灌注针均放置于适当位置，TEE 引导置管成功率为100％。③心脏复跳后，TEE显示所有患者心室水平均无残余分流，均无手术相关并发症，所有手术均获成功。结论 术中TEE 在全机器人膜周部VSD 修补中是有益的诊断手段。  
    Abstract: Objective To explore the role of intraoperative transesophageal echocardiography (TEE) in robotic perimembranous ventricular s eptal defect (VSD) repair. Methods A retrospective analysis was conducted with intraoperative TEE data of 18 consecutive patients who underwent robotic perimembranous VSD repair from January 2009 to August 2012. ① Before c ardiopulmonary bypass (CPB), TEE was performed to document the anatomic types, n umbers, and the size of VSD. The procedures were predetermined by the surgeon ac cording to TEE information. ② During the establishment of peripheral CPB, TEE w as used to guide the placement of cannulae in inferior vena cava (IVC), superior vena cava (SVC), and ascending aorta (AAO). ③ After weaning from CPB, TEE was conducted to evaluate the effect of the procedure. Results ① Accuracy of TEE was 100% for diagnosing the anatomic types of VSD. All the surgi cal procedures were performed based on the predetermined information. ② Under TEE guidance, all the cannulae in the SVC, IVC and AAO were located in correct p ositions. ③ In all patients, TEE confirmed successful VSD repair. Conc lusion TEE is a useful tool in the assessment of robotic perimembrano us VSD repair.  
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