肺动脉瓣下型室间隔缺损的临床特点和外科治疗  

CLINICAL CHARACTERISTICS AND SURGICAL TREATMENT OF SUBPULMONARY VENTRICULAR SEPTAL DEFECT(SPVSD)

作　　者：乔峻[1] 王幼平[1] 高晓明[1] 申康[1] 木拉提[1] 马拉提 顾勇 于湘友[1] 马松峰[1] 

机构地区：[1]新疆维吾尔自治区心血管病研究所,新疆医学院第一附属医院心脏外科

出　　处：《中国循环杂志》1995年第4期215-217,共3页Chinese Circulation Journal

摘　　要：自１９８２年８月至１９９３年１０月，我院共进行室间隔缺损修补术５９０例，属肺动脉瓣下缺损者６０例，合并右冠状瓣脱垂者２５例。其中有８例伴主动脉瓣关闭不全（ＡＩ），有５例为轻度，属中或重度的３例。用直接缝合缺损者２８例，用补片修补者３２例。５例伴有轻度ＡＩ者仅作了缺损修补术，在伴有中度及重度ＡＩ的３例，除作缺损还加主动脉瓣悬吊术。室间隔缺损修补的切口是经肺动脉根部横切口或右室流出道切口。随访２个月至８年，没有死亡或发生新的ＡＩ，在５例轻度ＡＩ，舒张期杂音完全消失。３例行主动脉悬吊术者效果不佳。作者指出，此型室间隔缺损在病理、诊断及手术治疗方面，与其它类型有所不同。From 1982 to 1993, 590 cases of VSD were repaired under extracorporeal circulation. 60 cases were of the SPVSD type, out of them 25 cases associated with prolapse of the right aortic coronary cusp. AI was present in 8 cases, being mild in 5 and moderate or severe in 3. Direct suturing of the VSD was undertaken in 28 cases and patch was used in 32. Simple closure of VSD was performed in 5 patients with mild AI and closure plus aortic cusp plication in 3 with moderate or severe AI. VSD was repaired through incision on the root of pulmonary artery or on the right ventricular outflow tract. In a follow-up study of 2 months to 8 years,there was no death and no new AI observed. Diastolic murmur completely disappeared in the 5 patients with mild AI. The result of aortic cusp plication operation was poor in 3 patients. The authors pointed out that the pathology, diagnosis and surgical treatment are different from other types of VSD.

关 键 词：室间隔缺损 主动脉瓣脱垂 外科手术 

分 类 号：R654.205[医药卫生—外科学]