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>
. {! h9 u* {. l- w$ e- q! i. \1 ~<P >超声心动报告</P>
: o7 \2 y' O1 @. C. |; m<P >主动脉：<FONT face="Times New Roman"> </FONT></P>
<P >瓣结构<FONT face="Times New Roman"> </FONT>正常</P>
) p; k! `6 b; M3 K+ v<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>
, I  O; n1 b' i6 H3 g8 T8 H<P >弓降部<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
2 @, Z9 a6 W0 m! q6 E& X; h<P >左房：<FONT face="Times New Roman"> </FONT></P>
<P >前后径<FONT face="Times New Roman">15mm </FONT></P>
<P >左房<FONT face="Times New Roman">/</FONT>主动脉<FONT face="Times New Roman"> 1.7</FONT></P>
<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>
/ |. Q: E! q& A<P >室间隔厚度<FONT face="Times New Roman"> 4mm</FONT></P>
/ L: G. k1 N9 ^/ p$ x# w<P >运动与后壁<FONT face="Times New Roman"> </FONT>反向<FONT face="Times New Roman"> </FONT></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>
9 `- J( `% A: O7 Q<P >心包<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
6 m* n# a2 Z' K+ d" V<P >右心房径：<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
8 ]1 }+ g) |) A& b* d/ ^<P >右心室前后径<FONT face="Times New Roman"> 11mm </FONT></P>
<P >肺动脉瓣结构：<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
- L1 o6 Y% c/ y' a5 o' A<P >主肺动脉径：<FONT face="Times New Roman"> 11mm </FONT></P>
! P2 b' v+ t, P$ w# q7 f% r<P >二尖瓣结构：正常<FONT face="Times New Roman"> </FONT></P>
, ]( g- y8 b" O# k9 a$ W<P >三尖瓣结构：正常<FONT face="Times New Roman"> </FONT></P>
<P >多普勒超声：</P>
<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>
<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>
6 F! T" T# C: ~& X+ t+ o' ~9 `& ~<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>
- G6 b% y' }: g* c" A<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>
  L2 B3 G  S6 v8 g5 _: a<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>
5 w% P/ P2 P6 s3 c1 Y, F<P >阳性所见：<FONT face="Times New Roman"> </FONT></P>
! _9 f2 w  o8 k/ T/ 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>
<P >多普勒检查：</P>
<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>
) l5 p, I$ J5 L1 J! i# z; K<P >诊断：</P>
& d$ B$ C2 c# M+ ?  j' P0 a<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>
<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。