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目的研究急性心肌梗死合并室间隔穿孔经皮导管介入封堵术治疗效果。方法选择2013年12月至2016年12月在三门峡市中心医院治疗的急性心肌梗死合并室间隔穿孔患者100例,随机分为实验组和对照组,对照组给予外科手术治疗,实验组给予经皮导管介入封堵术,对比分析两组患者手术时间、恢复时间以及1周、1年存活率。结果观察组患者术后1周和1年生存率为50.0%和40%,对照组分别为30.0%和20%,差异具统计学意义(χ~2=8.33,P<0.01);观察组患者手术时间和恢复时间分别为(3.9±1.3)h和(10.8±2.4)h,而对照组为(7.8±1.4)h和(38.9±3.4)h,差异具统计学意义(t=14.43,P<0.01)。结论经皮导管介入封堵术治疗时间短,患者恢复快,生存率高。
Objective To study the therapeutic effect of percutaneous catheter interventional closure of ventricular septal perforation in patients with acute myocardial infarction. Methods One hundred patients with acute myocardial infarction complicated with perforation of septal perforation treated in Sanmenxia Central Hospital from December 2013 to December 2016 were randomly divided into experimental group and control group, control group received surgical operation, and experimental group was given percutaneous Catheterization and occlusion, comparative analysis of two groups of patients operation time, recovery time and 1 week, 1 year survival rate. Results The survival rates of one week and one year in the observation group were 50.0% and 40%, respectively, and those in the control group were 30.0% and 20% respectively (χ ~ 2 = 8.33, P <0.01) The operative time and recovery time were (3.9 ± 1.3) h and (10.8 ± 2.4) h respectively, while those in the control group were (7.8 ± 1.4) h and (38.9 ± 3.4) h, respectively, with statistical significance (t = 14.43, P <0.01). Conclusion Percutaneous catheter interventional therapy has short treatment time, quick recovery and high survival rate.