The effect of interventional occlusion surgery and surgical treatment for congenital heart disease
介入封堵术与外科手术治疗先天性心脏病的效果

摘要

目的 将介入封堵术与外科手术用于先天性心脏病（以下简称先心病）中，对其应用效果进行分析。 方法 选取2024年6月至2025年6月本院收治的86例先心病患儿，随机分组，对照组43例行外科手术治疗，观察组43例行介入封堵术治疗，对两组治疗结果进行比较。结果 两组手术时长、术后ICU住院时间、总住院时间比较，观察组更短，两组术中输血量比较，观察组更少（P<0.05）；治疗前，两组LA、LV、RV指标比较，不具显著差异（P>0.05），治疗后，观察组各心脏几何指标值更低（P<0.05）；两组并发症发生率比较，观察组4.65%更低（P<0.05）。结论 对先天性心脏病患儿来说，应用介入封堵术可获得相比外科手术更理想的效果，既能降低手术风险，缩短手术时长、住院时间，还可减少术中输血量，改善患儿心脏几何指标，减少术后并发症，具有较高应用价值。

Abstract

Objective To compare the therapeutic effects of interventional occlusion surgery and surgical treatment for congenital heart disease (hereinafter referred to as congenital heart disease).
Methods 86 children with congenital heart disease admitted to our hospital from June 2024 to June 2025 were selected and randomly divided into two groups. The control group of 43 cases underwent surgical treatment, and the observation group of 43 cases underwent interventional occlusion surgery. The treatment results of the two groups were compared.
Results The operation time, postoperative ICU stay time, and total hospital stay time of the two groups were compared, and the observation group was shorter. The intraoperative blood transfusion volume of the two groups was compared, and the observation group was less (P < 0.05); Before treatment, the LA, LV, and RV indicators of the two groups were compared, and there was no significant difference (P > 0.05). After treatment, the geometric indicators of each heart in the observation group were lower (P < 0.05); The incidence of complications between the two groups was compared, and the observation group was 4.65% lower (P < 0.05).
Conclusion   For children with congenital heart disease, the application of interventional occlusion surgery can achieve a more ideal therapeutic effect compared with surgical treatment. It can reduce surgical risks, shorten operation time and hospital stay, and also reduce intraoperative blood transfusion volume, improve the geometric indicators of the child's heart, and reduce postoperative complications. It has a high application value.