安徽医科大学学报
安徽醫科大學學報
안휘의과대학학보
Acta Universitatis Medicinalis Anhui
2015年
10期
1460-1463
,共4页
法洛四联症%右心室流出道%心包补片%肺动脉瓣返流
法洛四聯癥%右心室流齣道%心包補片%肺動脈瓣返流
법락사련증%우심실류출도%심포보편%폐동맥판반류
tetralogy of fallot%right ventricular outflow tract%pericardial patch%pulmonary insufficiency
目的 探讨经蒸馏水处理的活性自体心包补片在法洛四联症右心室流出道重建术中的应用,并对其临床效果进行评价. 方法 选取进行法洛四联症一期矫治手术的患者125例,术中均采用经蒸馏水处理的活性自体心包补片进行右心室流出道的重建. 其中,39例采用单纯自体心包补片, 86例采用带瓣自体心包补片. 对两组患者进行随访,比较肺动脉瓣的返流程度及活动度变化情况. 结果 单纯补片组术后平均随访时间为(63 ± 8)个月,带瓣补片组术后平均随访时间为(55 ± 7)个月;两组患者的年龄、体表面积、心率、肺动脉直径、体外循环时间、术后胸引液量差异均无统计学意义;随访期内单纯补片组术后肺动脉瓣返流加重程度、瓣膜活动度降低程度明显高于带瓣补片组. 结论 用经蒸馏水处理的活性带瓣自体心包补片进行右心室流出道重建,有助于降低法洛四联症术后肺动脉瓣的返流及减缓瓣膜增厚硬化程度,在临床中取得了良好的中期效果.
目的 探討經蒸餾水處理的活性自體心包補片在法洛四聯癥右心室流齣道重建術中的應用,併對其臨床效果進行評價. 方法 選取進行法洛四聯癥一期矯治手術的患者125例,術中均採用經蒸餾水處理的活性自體心包補片進行右心室流齣道的重建. 其中,39例採用單純自體心包補片, 86例採用帶瓣自體心包補片. 對兩組患者進行隨訪,比較肺動脈瓣的返流程度及活動度變化情況. 結果 單純補片組術後平均隨訪時間為(63 ± 8)箇月,帶瓣補片組術後平均隨訪時間為(55 ± 7)箇月;兩組患者的年齡、體錶麵積、心率、肺動脈直徑、體外循環時間、術後胸引液量差異均無統計學意義;隨訪期內單純補片組術後肺動脈瓣返流加重程度、瓣膜活動度降低程度明顯高于帶瓣補片組. 結論 用經蒸餾水處理的活性帶瓣自體心包補片進行右心室流齣道重建,有助于降低法洛四聯癥術後肺動脈瓣的返流及減緩瓣膜增厚硬化程度,在臨床中取得瞭良好的中期效果.
목적 탐토경증류수처리적활성자체심포보편재법락사련증우심실류출도중건술중적응용,병대기림상효과진행평개. 방법 선취진행법락사련증일기교치수술적환자125례,술중균채용경증류수처리적활성자체심포보편진행우심실류출도적중건. 기중,39례채용단순자체심포보편, 86례채용대판자체심포보편. 대량조환자진행수방,비교폐동맥판적반류정도급활동도변화정황. 결과 단순보편조술후평균수방시간위(63 ± 8)개월,대판보편조술후평균수방시간위(55 ± 7)개월;량조환자적년령、체표면적、심솔、폐동맥직경、체외순배시간、술후흉인액량차이균무통계학의의;수방기내단순보편조술후폐동맥판반류가중정도、판막활동도강저정도명현고우대판보편조. 결론 용경증류수처리적활성대판자체심포보편진행우심실류출도중건,유조우강저법락사련증술후폐동맥판적반류급감완판막증후경화정도,재림상중취득료량호적중기효과.
Objective To investigate the activity of autologous pericardial patch treated by distilled water in right ventricular outflow tract reconstruction of tetralogy of fallot,and to evaluate its clinical effect. Methods The study used 125 patients who had applied correction surgery of tetralogy of fallot and autologous pericardial patch treated by distilled water in the right ventricular outflow reconstruction. 39 cases used fresh autologous pericardial patches,and 86 cases used autologous valved pericardial patch. The degree of insufficiency and activity of the pulmonary valve were compared. Results The mean follow-up time was ( 63 ± 8 ) months in fresh autologous pericardial patches group, while (55 ± 7) months in valved patch group. No significant difference was found in age, body surface area, heart rate, pulmonary artery diameter, cardiopulmonary bypass time and priming volume postoperative between the two groups. The exacerbations of pulmonary valve insufficiency and activity in fresh autologous pericardial patches group were significantly higher than in valved patch group. Conclusion Autologous pericardial patch treated by distilled water was beneficial in right ventricular outflow tract reconstruction of tetralogy of fallot. It reduced pulmo-nary valve insufficiency and sclerosis after the correction surgery and showed good mid-term clinical results .
