摘要
目的 探讨心室双出口的手术治疗效果。方法 回顾性分析 72例心室双出口病人手术治疗方法及治疗效果。右室双出口 71例中SDD型 6 4例 ,ILL型 3例 ,SDL型 3例 ,IDD型 1例 ;左室双出口 1例 (ILD型 )。采用左心室 -主动脉心内隧道连接 6 1例 ,全腔静脉 -肺动脉连接 2例 ,左心室 -主动脉心内隧道并右心室 -肺动脉心外管道连接 3例 ,Glenn分流 6例。结果 死亡 2例。 1例术后 3个月发现残余室间隔缺损 ,予再次手术缝合。余者效果良好 ,无远期死亡及相关并发症发生。结论 根据心室双出口的不同类型 ,选择最佳手术方式及掌握手术时机是成功的重要因素 ,重建通畅良好的左或右室流出道是提高手术成功率的关键因素。
Objective: To study the results of surgical treatment for double outlet ventricle. Methods: The results of 72 cases of double outlet ventricle were retrospectively analyzed. Results: There were 71 cases of double outlet right ventricle, including 64 cases of type SDD, 3 type ILL, 3 type SDL, 1 type IDD. Only one case was double outlet left ventricle type ILD. Surgical procedures included left ventricle-aorta intraventricular tunnel connection in 61 patients, total cava-pulmonary artery connection in 2, left ventricle-aorta intraventricular tunnel and right ventricle-pulmonary artery extracardial tube repaired in 3. Six cases underwent bi-directional Glenn procedure. Two cases died from operation. Residue shunt of VSD was observed in one case and re-operation was done to repair the shunt. There were no long-term death and other complications. Conclusion: It is important to choose the right time and proper procedure. Reconstruction left and right ventricle is the essential factor to the surgical success.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2003年第1期7-9,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
心室双出口手术
治疗
临床研究
先天性心脏缺损
Heart defects, congenital Double outlet right ventricle Cardiac surgical procedures
