中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
10期
1028-1030
,共3页
刘淼%徐宏耀%高廷朝%王平凡%何发明%李友金%高飞
劉淼%徐宏耀%高廷朝%王平凡%何髮明%李友金%高飛
류묘%서굉요%고정조%왕평범%하발명%리우금%고비
右肺动脉狭窄%法洛四联症%根治手术
右肺動脈狹窄%法洛四聯癥%根治手術
우폐동맥협착%법락사련증%근치수술
Right pulmonary artery stenosis%Tetralogy of Fallot%Radical surgery
目的 探讨合并右肺动脉狭窄的法洛四联症的根治性手术治疗方法.方法 13例合并右肺动脉狭窄的法洛四联症行根治性手术治疗,其中右肺动脉广泛狭窄7例,行横断升主动脉的法洛四联症根治术;右肺动脉入口狭窄5例,行右肺动脉开口补片扩张的法洛四联症根治术;体肺分流术后右肺动脉中段扭曲狭窄1例,行游离扩张后常规行法洛四联症根治术.结果 全组无手术死亡,无术后低心排,灌注肺发生,术后心功能1级10例,2级3例.结论 右肺动脉狭窄增加了法洛四联症根治术的难度,但对于肺内血管发育良好的患者,法洛四联症根治术仍是首选的手术方式.
目的 探討閤併右肺動脈狹窄的法洛四聯癥的根治性手術治療方法.方法 13例閤併右肺動脈狹窄的法洛四聯癥行根治性手術治療,其中右肺動脈廣汎狹窄7例,行橫斷升主動脈的法洛四聯癥根治術;右肺動脈入口狹窄5例,行右肺動脈開口補片擴張的法洛四聯癥根治術;體肺分流術後右肺動脈中段扭麯狹窄1例,行遊離擴張後常規行法洛四聯癥根治術.結果 全組無手術死亡,無術後低心排,灌註肺髮生,術後心功能1級10例,2級3例.結論 右肺動脈狹窄增加瞭法洛四聯癥根治術的難度,但對于肺內血管髮育良好的患者,法洛四聯癥根治術仍是首選的手術方式.
목적 탐토합병우폐동맥협착적법락사련증적근치성수술치료방법.방법 13례합병우폐동맥협착적법락사련증행근치성수술치료,기중우폐동맥엄범협착7례,행횡단승주동맥적법락사련증근치술;우폐동맥입구협착5례,행우폐동맥개구보편확장적법락사련증근치술;체폐분류술후우폐동맥중단뉴곡협착1례,행유리확장후상규행법락사련증근치술.결과 전조무수술사망,무술후저심배,관주폐발생,술후심공능1급10례,2급3례.결론 우폐동맥협착증가료법락사련증근치술적난도,단대우폐내혈관발육량호적환자,법락사련증근치술잉시수선적수술방식.
Objective To explore the radical surgery for tetralogy of Fallot combined with right pulmonary artery stenosis.Methods Thirteen cases with tetralogy of Fallot combined with right pulmonary artery stenosis accepted radical surgery,among them 7 cases who-had a long right pulmonary artery stenosis accepted aortic transaction for radical surgery of tetralogy of Fallot;5 cases who had the entrance stenosis of the right pulmonary artery accepted right pulmonary artery patch expansion for radical surgery of tetralogy of Fallot;One case who had the distortion and stenosis after pulmonary shunt accepted the radical surgery for tetralogy of Fallot after seperation and expansion.Results There were no operation-related deaths,post-operative low cardic output and perfusion lung occurred for all the cases.Ten cases had grade 1 cardiac function and 3 cases had grade 2,respectively.Conclusion Right pulmonary artery stenosis increased the risks during the radical surgery for tetralogy of Fallot,but it is still the primary operation choice.