临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
15期
1238-1241
,共4页
高宏%徐伟%宋保国%张曦%王沙%李海明
高宏%徐偉%宋保國%張晞%王沙%李海明
고굉%서위%송보국%장희%왕사%리해명
婴儿%法洛四联症%肺动脉%右心房
嬰兒%法洛四聯癥%肺動脈%右心房
영인%법락사련증%폐동맥%우심방
Infancy%Tetralogy of fallot%Mai pulmonary artery%Right atrium
目的:探讨经主肺动脉和右心房径路根治婴儿法洛四联症( TOF)新术式的适应证和疗效。方法43例TOF婴儿,经主肺动脉、右心房径路行TOF根治术,占同期婴儿TOF根治手术的76.8%(43/56)。结果43例婴儿全部痊愈出院,术后仅需要小剂量多巴胺辅助循环,无严重并发症。随访1~62个月,患儿正常生长、发育,心功能良好,无死亡,无需要二次手术者。结论肺动脉瓣环发育良好的TOF婴儿可以通过主肺动脉、右心房切口进行根治术,能够保持肺动脉瓣完整性、避免右心室切口,手术后右心功能良好,围手术期并发症少,无死亡,取得满意近、中期手术疗效。
目的:探討經主肺動脈和右心房徑路根治嬰兒法洛四聯癥( TOF)新術式的適應證和療效。方法43例TOF嬰兒,經主肺動脈、右心房徑路行TOF根治術,佔同期嬰兒TOF根治手術的76.8%(43/56)。結果43例嬰兒全部痊愈齣院,術後僅需要小劑量多巴胺輔助循環,無嚴重併髮癥。隨訪1~62箇月,患兒正常生長、髮育,心功能良好,無死亡,無需要二次手術者。結論肺動脈瓣環髮育良好的TOF嬰兒可以通過主肺動脈、右心房切口進行根治術,能夠保持肺動脈瓣完整性、避免右心室切口,手術後右心功能良好,圍手術期併髮癥少,無死亡,取得滿意近、中期手術療效。
목적:탐토경주폐동맥화우심방경로근치영인법락사련증( TOF)신술식적괄응증화료효。방법43례TOF영인,경주폐동맥、우심방경로행TOF근치술,점동기영인TOF근치수술적76.8%(43/56)。결과43례영인전부전유출원,술후부수요소제량다파알보조순배,무엄중병발증。수방1~62개월,환인정상생장、발육,심공능량호,무사망,무수요이차수술자。결론폐동맥판배발육량호적TOF영인가이통과주폐동맥、우심방절구진행근치술,능구보지폐동맥판완정성、피면우심실절구,수술후우심공능량호,위수술기병발증소,무사망,취득만의근、중기수술료효。
Objective To explore the indications and results of the operations by through main pulmonary artery and right atrial repair of tetralogy of Fallot( TOF)under one year of age. Methods 43 TOF cases underwent main pulmonary and transatrial repair of tetralogy of Fallot. Results All infancy were very well postoperatively. Only small dose of dopamine was used to support the hearts. Postoperative followed up time is about 1~62 months. No death was reported in all these patients. No need for secondary surgery in all these patients. Conclusion The opera-tion of TOF can be performed through main pulmonary and transatrial repair under one year of age. In this technique,it can protect right ventricle function. The recent and interim efficacy of this operation were very good.