双腔右心室18例外科治疗  

Surgical Treatment for Double Chamber of Right Ventricle

作　　者：史向前[1] 刘学刚[1] 王祖义[1] 李小军[1] 

机构地区：[1]安徽省蚌埠医学院附属医院胸外科,233004

出　　处：《实用全科医学》2004年第6期487-488,共2页Applied Journal Of General Practice

摘　　要：目的　总结 1 8例双腔右心室的诊断及手术诊治体会。方法　对 1 8例双腔右心室行畸型矫正术 ,在体外循环下选用胸正中切口 1 4例 ,右进胸小切口 2例 ,胸骨下段小切口 2例 ,心脏不停跳下手术矫治 2例。手术切除部分肥厚肌索 ,疏通流出道 ,合并室间隔缺损及肺动脉瓣狭窄同期矫正处理。结果　 1 8例经手术治疗均症状改善或消失 ,经门诊随访 ,身体恢复良好。结论　双腔右心室随着年龄增长 ,症状呈进行性加重 ,故一经确诊 ,压力阶差大于 50mmHg者 ,无论有无症状 ,均应尽早手术。术中对其他畸形如VSD、ASD、PS等同时矫治 ,方能获得良好效果。Objective To summarize the experience of the diagnosis and treatment of double chamber of right ventricle in 18 cases. Methods 18 cases with double chamber of right ventricle underwent orthopedic procedure. Cardopulmonary bypass (CPB) was performed in all cases. Median incision in chest was selected in 14 cases. The mini-incision in right chest and mini-incision in inferior segment of sternum were selected in 2 cases separately. 2 operations were performed without heart arrest. Hypertrophy muscular band was resected and the outflow tract was cleared out. Ventricular septal defect (VSD) and pulmonary valve stenosis (PS) were corrected if necessary. Results Symptoms of 18 patients were alleviated or disappeared. All cases recovered. Conclusions Symptoms of patients with double chamber of right ventricle would become more and more serious with the growing of the age. If patients' pressure gradient were more than 50 mmHg, operation should be performed as earlier as possible after diagnosis inspired of having symptoms of not. ASD VSD and PS should be corrected at the same time if necessary.

关 键 词：双腔右心室 畸型矫正术 体外循环 梗阻部位 异常肌束 

分 类 号：R541.1[医药卫生—心血管疾病]