摘要
目的总结单心房的外科治疗经验。方法自1984年8月至2004年8月共手术治疗单心房患者33例。其中30例二尖瓣关闭不全,行二尖瓣成形术;18例三尖瓣关闭不全,行三尖瓣成形术;3例仅为房间隔完全缺如。合并永存左上腔静脉14例。单心房均采用补片分隔。合并畸形同期矫治。术中采用2种缝合技术防止房室结和传导束的损伤,二尖瓣成形至无关闭不全。结果本组术后无死亡。术后无传导阻滞发生。除1例术后轻度二尖瓣关闭不全,其余无二尖瓣关闭不全。随访25例患者3个月～11年,均恢复正常工作学习。结论单心房一旦诊断明确应尽早手术;手术关键在于防止房室结和传导束的损伤、彻底矫正二尖瓣关闭不全以及合并畸形;单心房用补片分隔,自体心包补片为首选。
Objective To summarize the experience of surgical treatment of single atrium. Methods From August 1984 to August 2004, there were 33 patients with single atrium in our study. Plastic surgery for mitral valves were performed for 30 cases with mitral insufficiency. Plastic surgery for tricuspid valves were performed for 18 cases with tricuspid valve insufficiency. There were 3 cases only with complete absence of atrial septum. There were 14 cases with left superior vena cava. All new atrial septums were made with patches including 24 autologous pericardial patches and 9 terylene patches. Complicate abnormalities were corrected in the same time. Tow suture techniques were used in operations to prevent conductive system block, and plastic surgery for mitral valves were performed until the mitral valves were sufficiency. Results There weren＇t death and conductive system block after operation in the group. One case was lowgrade mitral insufficiency and the others weren＇t mitral insufficiency. Twenty-five cases were followed up from 3 months to 11 years, and they could work and study normally. Conclusions Single atrium should be operated as early as possible. The key of surgery is to prevent conductive system block, to properly correct mitral insufficiency and to drastically correct complicated abnormality. The new atrial septum should be made by patch and an autologous pericardial patch is the first selection.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2006年第18期1229-1231,共3页
Chinese Journal of Surgery
关键词
心脏外科手术
治疗结果
心间隔缺损
单心房
Cardiac surgical procedures
Treatment outcome
Heart septal defects, single atrium
