请问医生二孔型房缺？

津津

<P>医生您好！我女儿一岁半，诊断如下：</P>
" i- U0 ^5 d  s- V( @& l<P >超声心动报告</P>
' S$ I! M/ r, Y5 y$ @' e# z, p<P >主动脉：<FONT face="Times New Roman"> </FONT></P>
<P >瓣结构<FONT face="Times New Roman"> </FONT>正常</P>
. ^5 u3 b: H+ v4 r/ Y8 M8 ?<P >瓣环内径<FONT face="Times New Roman">10mm</FONT>，升主动脉径<FONT face="Times New Roman">9mm </FONT></P>
0 ~  {- ?' U" h- l( \8 c<P >弓降部<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
<P >左房：<FONT face="Times New Roman"> </FONT></P>
1 E* T" z- B8 B; y/ D  }<P >前后径<FONT face="Times New Roman">15mm </FONT></P>
: l! J1 q9 }7 p' V! J4 R& C% Z<P >左房<FONT face="Times New Roman">/</FONT>主动脉<FONT face="Times New Roman"> 1.7</FONT></P>
) Z0 s4 f+ e; H( r3 D! A8 T4 j<P >房间隔延续<FONT face="Times New Roman"> </FONT>中断<FONT face="Times New Roman"> </FONT></P>
<P >左心室：</P>
<P >室间隔延续<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
; e$ z! P1 r, S! G+ O; S1 w+ n<P >室间隔厚度<FONT face="Times New Roman"> 4mm</FONT></P>
<P >运动与后壁<FONT face="Times New Roman"> </FONT>反向<FONT face="Times New Roman"> </FONT></P>
  I! I; Z- z6 i( Y3 p- \/ T* P<P >舒张末期前后径<FONT face="Times New Roman"> 25mm EF65% </FONT></P>
<P >后壁厚度<FONT face="Times New Roman"> 4mm </FONT></P>
<P >心包<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
<P >右心房径：<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
( L' q  ]0 I5 W- D<P >右心室前后径<FONT face="Times New Roman"> 11mm </FONT></P>
$ P8 Q9 W8 b# R<P >肺动脉瓣结构：<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
4 F( }+ [) j1 ?4 e<P >主肺动脉径：<FONT face="Times New Roman"> 11mm </FONT></P>
5 J, f" l; N0 a" g1 w' H, a<P >二尖瓣结构：正常<FONT face="Times New Roman"> </FONT></P>
7 e4 k6 K+ }/ T<P >三尖瓣结构：正常<FONT face="Times New Roman"> </FONT></P>
<P >多普勒超声：</P>
. j5 H* h' s0 }1 }9 ^$ R% d<P >二尖瓣：舒张期：流速（<FONT face="Times New Roman">m/s</FONT>）<FONT face="Times New Roman">0.9 </FONT>压差（<FONT face="Times New Roman">mmhg</FONT>）<FONT face="Times New Roman">3.2 </FONT></P>
<P >三尖瓣<FONT face="Times New Roman">: </FONT>收缩期：流速（<FONT face="Times New Roman">m/s</FONT>）<FONT face="Times New Roman">2.5 </FONT>压差（<FONT face="Times New Roman">mmhg</FONT>）<FONT face="Times New Roman">25.0 </FONT></P>
7 e: u4 P$ ~8 x& A- X2 H( q' M<P >舒张期：流速（<FONT face="Times New Roman">m/s</FONT>）<FONT face="Times New Roman">0.6 </FONT>压差（<FONT face="Times New Roman">mmhg</FONT>）<FONT face="Times New Roman">1.4 </FONT></P>
<P >主动脉瓣：收缩期：流速（<FONT face="Times New Roman">m/s</FONT>）<FONT face="Times New Roman">1.1 </FONT>压差（<FONT face="Times New Roman">mmhg</FONT>）<FONT face="Times New Roman">4.8 </FONT></P>
4 o2 j/ n9 Y7 p- _7 ~: q2 l9 c<P >肺动脉瓣：收缩期：流速（<FONT face="Times New Roman">m/s</FONT>）<FONT face="Times New Roman">1.5 </FONT>压差（<FONT face="Times New Roman">mmhg</FONT>）<FONT face="Times New Roman">9.0 </FONT></P>
( f( B9 Z3 Y+ g<P >房水平：左向右<FONT face="Times New Roman"> </FONT>流速（<FONT face="Times New Roman">m/s</FONT>）<FONT face="Times New Roman">0.9 </FONT>压差（<FONT face="Times New Roman">mmhg</FONT>）<FONT face="Times New Roman">3.2 </FONT></P>
<P >阳性所见：<FONT face="Times New Roman"> </FONT></P>
0 Q0 G: x: s3 X/ ?6 J<P >右心房室扩大，左心内经正常；室间隔与左室后壁运动正常，收缩增厚率正常<FONT face="Times New Roman"> </FONT>。房间隔中部组织菲薄，向右房侧膨突，基底宽度约<FONT face="Times New Roman">8mm</FONT>，膨突部上端回声脱失约<FONT face="Times New Roman">4</FONT>×<FONT face="Times New Roman">6mm </FONT>；室间隔延续完整。三尖瓣瓣环扩大，瓣膜闭合稍欠佳。余瓣膜形态，结构，启闭正常。<FONT face="Times New Roman"> </FONT>大动脉关系及发育正常，主动脉弓降部正常。<FONT face="Times New Roman"> </FONT></P>
' N" ^  g% |7 N! ~) h6 Q7 R  K. q<P >多普勒检查：</P>
+ V7 j0 w: F% G, n<P ><FONT face="Times New Roman"> </FONT>房水平左向右分流，三尖瓣微少量返流，估算肺动脉收缩压约<FONT face="Times New Roman">35mmhg</FONT>。<FONT face="Times New Roman"> </FONT></P>
<P >诊断：</P>
9 E/ X: B' z  J( r4 R6 r; w<P ><FONT face="Times New Roman"> </FONT>先天性心脏病<FONT face="Times New Roman"> </FONT>二孔型房间隔缺损（中央型）<FONT face="Times New Roman"> </FONT>房水平左向右分流<FONT face="Times New Roman"> </FONT>三尖瓣少量返流。<p></p></P>
+ h$ Q" d& Z# x7 M<P>    请问医生，什莫时间手术较好？腋下侧切和介入哪一种较好？谢谢。</P>

陆医生

您好：<BR>    建议继续定期复查，可在3岁后考虑介入治疗，不需要开刀。