摘要目的 比较食道超声辅助下室间隔缺损封堵术与室间隔缺损直视修补术临床输血率及住院时间.方法 收集131例室间隔缺损患儿的临床资料,其中75例接受室间隔缺损封堵术,56例接受室间隔缺损直视修补术.分析比较两组患儿输血率及住院时间.结果 所有患儿均康复出院.术后3个月超声心动图复查提示接受食道超声辅助下室间隔缺损封堵术的患儿无残余分流、封堵器移位及主动脉瓣返流；三尖瓣返流6例,返流程度轻度以下,中量及大量心包积液各1例.接受室间隔缺损直视修补术的患儿术后3个月超声心动图复查提示残余分流3例；二尖瓣返流2例,返流程度轻度以下；三尖瓣返流6例,返流程度轻度以下；主动脉瓣返流2例,均为细束返流；大量心包积液1例.接受室间隔缺损直视修补术的一组患儿有较高的输血率(x2 =81.83,P＜0.01)及较长的住院时间(t=46.57,P＜0.01).结论 接受食道超声辅助下室间隔缺损封堵术的患儿较接受室间隔缺损直视修补术的患儿有较少的输血率及较短的住院时间.

abstractsObjective To compare the rate of blood transfusion and hospitalization duration between the occlusion of ventricular septal defect through transesophageal echocardiography and the repair of ventricular septal defect.Methods A total of 131 consecutive patients were included in the study from July of 2011 to December of 2011,75 patients of them received the occlusion of ventricular septal defect through transesophageal echocardiography,and 56 patients of them received the repair of ventricular septal defect.Results All of 131 patients had discharged without death.The group of receiving the repair of ventricular septal defect presented the higher rate of blood transfusion(x2 =81.83,P ＜ 0.01) and longer hospitalization duration than the other(t =46.57,P ＜ 0.01).Conclusions The group of receiving the occlusion of ventricular septal defect through transesophageal echocardiography had the lower rate of blood transfusion and shorter hospitalization duration.