CAJ | 학술논문

目的总结全腔静脉肺动脉连接术治疗复杂先天性心脏病的经验,并对心内隧道和心外管道两种全腔静脉肺动脉连接术术式进行比较.方法全组32例复杂先天性心脏病,12例行心内隧道全腔静脉肺动脉连接术,20例行心外管道全腔静脉肺动脉连接术.结果全组患者死亡2例,发生低心排出量综合征8例,10例出现胸腔积液(均治愈),血流动力学满意,术后随访心功能Ⅰ～Ⅱ级,紫绀消失,无心律失常发生.结论全腔静脉肺动脉连接术是治疗复杂先天性心脏病的一种有效方法,临床效果好,优于传统的Fontan手术;心外管道全腔静脉肺动脉连接术较心内隧道全腔静脉肺动脉连接术操作更简单.
목적 총결전강정맥폐동맥련접술치료복잡선천성심장병적경험,병대심내수도화심외관도량충전강정맥폐동맥련접술술식진행비교.방법 전조32례복잡선천성심장병,12례행심내수도전강정맥폐동맥련접술,20례행심외관도전강정맥폐동맥련접술.결과 전조환자사망2례,발생저심배출량종합정8례,10례출현흉강적액(균치유),혈류동역학만의,술후수방심공능Ⅰ～Ⅱ급,자감소실,무심률실상발생.결론 전강정맥폐동맥련접술시치료복잡선천성심장병적일충유효방법,림상효과호,우우전통적Fontan수술;심외관도전강정맥폐동맥련접술교심내수도전강정맥폐동맥련접술조작경간단.
Objective To summary the experience of total cavopulmonary connection (TCPC) with different methods and study the operative indication, design and therapeutic efficacy. Methods Thirty-two cases of complex cyanotic congenital heart disease were reviewed: 12 cases underwent lateral tunnel and 20 cases extra-cardiac conduit TCPC.Results Two cases were died, and low heart output syndrome occurred in 8 cases, pleural effusion in 10 cases were cured at last. Cyanosis were abscised in all patients and no arrhythmogenesis occured and the heart function improved too. Conclusions The surgical procedures of TPCP is a modus operandi to treat the complex cyanotic congenital heart disease and outweigh the orthodox Fontan procedure. The operating performance of extra-cardiac conduit TCPC is reducing to the lateral tunnel.