摘要
目的：探讨重度右室流出道狭窄的手术适应证、手术方式及手术标准。方法：总结１９８５年１月～１９９７年１０月期间收治的１２８例重度右室流出道狭窄患者手术治疗情况。其中单纯右室流出道狭窄４５例，法乐四联症４９例，法乐三联症３４例。结果：单纯心内修复５２例，应用右室漏斗部补片３９例，跨肺动脉瓣环补片３７例，其中８例补片达左、右肺动脉分叉部。死亡７例（５．５％）。结论：正确掌握跨肺动脉瓣环补片指征是手术成功的关键。
Objective:To discuss the surgical indications,techniques and criteria of severe right ventriular outflow tract obstraction(sRVOTO).Methods,From January 1985 to October 1997,128 patients with sRVOTO under surgical treatment were reviewed,among them,45 cases were isolated RVOTO,49 cases were tetralogy of Fallot and 34 cases were trilogy of Fallot.Results:Resection of infundibular and anomalous right ventricular muscle bands in double-chambered right ventricle in 52 cases.Placement of infundibular patches in 39 cases,and placement of transannular outflow tract patches in 37 cases,among the later,the patches of 8 cases were extended to the bifurcation of pulmonary artery.The total motatily was 5.5%(7/128 cases).Conclusion:Accurate surgical indications,procedures and criteria of sRVOTO are necessary for successful operation.
出处
《山西临床医药》
1998年第6期376-378,共3页
Shanxi Clinical Medicine
关键词
右室流出道狭窄
跨环补片
外科手术
Rihgt ventricular outflow tract obstraction,Sugical managment,Transanular outflow tract patch
