不同手术方法治疗心上型完全性肺静脉异位引流
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2012年第5期
- 页码:
- 639-641
- 栏目:
- 临床研究
- 出版日期:
- 2012-10-25
文章信息/Info
- Title:
- Clinical analysis of different surgical treatments for supracardiac total anomalous pulmonary venous drainage
- Author(s):
- QI Ming; ZHENG Ping
- (Cardiovascular Surgery ICU, Wuhan Asia Heart Hospital, Wuhan 430022, Hubei, China)
- 关键词:
- 完全性肺静脉异位引流; 心上型; 心脏病; 先天性; 心脏外科手术
- Keywords:
- supracardiac total anomalous pulmonary venous drainage; congenital heart disease; cardiac surgery
- 分类号:
- R541.1
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的:比较心上型完全性肺静脉异位引流(TAPVC)的各种手术治疗效果，为临床治疗TAPVC提出更合理的手术方式。方法： 2000年8月~2011年4月外科手术治疗60例心上型TAPVC，包括经房间隔手术14例，经左右心房手术19例，心上法27例。结果： 术后死亡4例，其中经房间隔手术死亡2例，经左右心房死亡1例，心上法死亡1例。术后主要并发症为肺静脉梗阻、低心排、手术创伤所致心律失常、左心发育不良所致急性肺水肿、呼吸衰竭。其中心上法手术患者并发症明显低于其他两组。结论： 心上径路治疗心上型TAPVC近、中期效果良好，远期效果有待进一步随访。
- Abstract:
- AIM:To compare the effect of different surgical approaches for supracardiac total anomalous pulmonary venous connection (TAPVC). METHODS: Sixty patients with supracardiac TAPVC underwent surgical repair from August 2000 to April 2011, including 14 patients using the right atrium approach, 19 patients through right and left atrium incisions and 27 patients using the superior approach. RESULTS: Four patients (two with right atrium approach, one with right and left atrium incisions and one with superior approach) died after surgical repair. The main complications were pulmonary vein obstruction, low cardiac output, arrhythmia, acute pulmonary edema due to hypoplastic left heart, or respiratory failure. The complications in the superior approach group were significantly lower than those in the other two groups. CONCLUSION: Superior approach shows good short- and medium-term effect in the treatment of supracardiac TAPVC, but the long-term effect needs further follow-up.
参考文献/References
[1]Jonas RA.Comprehensive surgical management of congenital heart disease[M].London:Arnold,2004:402-413.[2]Ando M,Takahashi Y,Kikuchi T.Total anomalous pulmonary venous connection with dysmorphic pulmonary vein:a risk for postopemtive pulmonary venous obstruction[J].Interact Cardiovasc Thorac Surg,2004,3(4):557-561.[3]徐志伟,苏肇伉,丁文祥.先天性心脏病完全性肺静脉异位连接的手术治疗[J].上海第二医科大学学报,2004,24(2):120-122.[4]刘迎龙,吴清玉,胡盛寿,等.小儿完全性肺静脉畸形引流的外科治疗[J].中华小儿外科杂志,2002,23(1):20-22.[5]Karamlou T,Gurofsky R,Al Sukhni E,et al.Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection[J].Circulation,2007,115(12):1591-1598.[6]李建荣,刘迎龙.肺静脉狭窄诊治进展[J].国际外科学杂志,2006,33(3):232-236.[7]Rieei M,Elliott M,Coben GA,et al.Management of pulmonary venous obstruction after connection of TAPVC:risk factors for adverse outcome [J].Eur J Cardiothorac Surg,2003,24(1):28-36.[8]Hawkins JA,Minich LL,Tani LY,et al.Absorbable polydioxanone suture and results in total anomalous pulmonary venous connection[J]. Ann Thorac sury,1995,60(1):55-59.[9]Buitrago E,Panos AL,Ricci M.Primary repair of infracardiac total anomalous pulmonary venous connection using a modified sutureless technique[J].Ann Thorac surg, 2008,86(1):320-322.
备注/Memo
- 备注/Memo:
- 收稿日期: 2012-03-24.作者简介：祁明，主治医师，硕士Email:taddy1875@hotmail.com
常用功能
统计/Statistics
- 摘要浏览/Viewed983
- 评论/Comments
