中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
6期
623-625
,共3页
王正清%靖文斌%刘立新%张嵬%张建亮%刘晓程
王正清%靖文斌%劉立新%張嵬%張建亮%劉曉程
왕정청%정문빈%류립신%장외%장건량%류효정
法洛四联症%右心室流出道重建%肺动脉瓣成形%超声心动图
法洛四聯癥%右心室流齣道重建%肺動脈瓣成形%超聲心動圖
법락사련증%우심실류출도중건%폐동맥판성형%초성심동도
Tetralogy of fallot%Right ventricle outflow tract reconstruction%Pulmonary valvuloplasty%Echoeardiography
目的 探讨法洛四联症术中肺动脉瓣成形术在右心室流出道(RVOT)重建术中的应用效果.方法 法洛四联症矫治术93例患者中,行心包补片加宽RVOT及肺动脉瓣环同时肺动脉瓣成形术49例(A组),行心包补片加宽RVOT及肺动脉瓣环44例(B组).术后超声测量肺动脉瓣返流指数(PRi)及返流束宽与肺动脉瓣环直径比值.结果 术后随访(3.1±0.2)年,A组PRi和肺动脉瓣返流柬宽与肺动脉瓣环直径比值优于B组[分别为0.55±0.13与0.61±0.10,t=2.685,P<0.01;(52.0.±10.4)%与(57.1 ±10.5)%,t=2.349,P<0.05],差异有统计学意义.三维超声显示A组69%(34/49)的成形肺动脉瓣发育为比较好的瓣叶.结论 法洛四联症中扩大肺动脉瓣环同时行肺动脉瓣成形术可以减轻肺动脉瓣返流,取得满意的手术疗效.
目的 探討法洛四聯癥術中肺動脈瓣成形術在右心室流齣道(RVOT)重建術中的應用效果.方法 法洛四聯癥矯治術93例患者中,行心包補片加寬RVOT及肺動脈瓣環同時肺動脈瓣成形術49例(A組),行心包補片加寬RVOT及肺動脈瓣環44例(B組).術後超聲測量肺動脈瓣返流指數(PRi)及返流束寬與肺動脈瓣環直徑比值.結果 術後隨訪(3.1±0.2)年,A組PRi和肺動脈瓣返流柬寬與肺動脈瓣環直徑比值優于B組[分彆為0.55±0.13與0.61±0.10,t=2.685,P<0.01;(52.0.±10.4)%與(57.1 ±10.5)%,t=2.349,P<0.05],差異有統計學意義.三維超聲顯示A組69%(34/49)的成形肺動脈瓣髮育為比較好的瓣葉.結論 法洛四聯癥中擴大肺動脈瓣環同時行肺動脈瓣成形術可以減輕肺動脈瓣返流,取得滿意的手術療效.
목적 탐토법락사련증술중폐동맥판성형술재우심실류출도(RVOT)중건술중적응용효과.방법 법락사련증교치술93례환자중,행심포보편가관RVOT급폐동맥판배동시폐동맥판성형술49례(A조),행심포보편가관RVOT급폐동맥판배44례(B조).술후초성측량폐동맥판반류지수(PRi)급반류속관여폐동맥판배직경비치.결과 술후수방(3.1±0.2)년,A조PRi화폐동맥판반류간관여폐동맥판배직경비치우우B조[분별위0.55±0.13여0.61±0.10,t=2.685,P<0.01;(52.0.±10.4)%여(57.1 ±10.5)%,t=2.349,P<0.05],차이유통계학의의.삼유초성현시A조69%(34/49)적성형폐동맥판발육위비교호적판협.결론 법락사련증중확대폐동맥판배동시행폐동맥판성형술가이감경폐동맥판반류,취득만의적수술료효.
Objective To discuss clinic effect of pulmonary artery valvuloplasty for right ventricle outflow tract (RVOT) reconstruction in patients with repaired tetralogy of fallot (TOF). Methods A total of 93 cases TOF were randomly divided into Group A (n = 49) or Group B (n = 44) to perform the procedure with repaired tetralogy of fallot Group A received autogenous pericardium to enlarge RVOT and pulmonary valvuloplasty.Group B received autogenous pericardium to enlarge RVOT by routine therapy. Pulmonary regurgitation index (PRi) and the ratio between pulmonary regurgitant jet width and pulmonary annulus diameter were measured with echoeardiography. Results The mean follow-up was 3. 1 ± 0. 2 years. The PRi and the ratio between pulmonary regurgitant jet width and pulmonary annulus diameter in Group A were-significantly lower than Group B (0. 55 ± 0. 13 vs. 0. 61 ± 0. 10, t = 2. 685, P < 0.01) and ([52.0 ± 10.4] % vs. [57.1 ± 10. 5]% ,t = 2. 349, P < 0.05) . Three-dimensional ultrasound examination showed that 69% (34/69) of pulmonary valves in Group A was developed well. Conclusion Pulmonary valvuloplasty during transannular patch for repaired TOF may prevent fre'e pulmonary regurgitation and can obtain good clinical outcome.
