小儿法乐四联症跨瓣环补片重建右心室流出道  

Reconstruction of right ventricular outflow tract using transannular patch in 52 children with tetralogy of Fallot

作　　者：张殿堂[1] 张代文[1] 张荣华[1] 胡建才[1] 殷桂林[1] 朱水波[1] 

机构地区：[1]广州军区武汉总医院心胸外科,武汉430070

出　　处：《中华外科杂志》1996年第4期244-246,共3页Chinese Journal of Surgery

摘　　要：作者采用跨瓣环补片重建右室流出的方法对52例小儿法乐四联症进行手术治疗,并随访47例生存者,发现术后近、远期右室流出道无再梗阻发生。大部分患者术后第一年肺动脉瓣有一定程度关闭不全,但随生存时间延长肺动脉瓣返流不断好转。为此,作者对跨越瓣环补片重建右室流出道的适应证,补片材料选择及肺动脉瓣环加宽的标准进行了分析。强调跨越瓣环补片应正确掌握适应证,补片材料以自体心包为优选。52 children with'tetralogy of l^allot received reconstruction of right ventricular outflow tract (RVOT) by using transannular patch. The indications for using transannular patch to reconstruct RVOT,pateh materials,and the standard of enlargement pulmonary annulus were studied. The indica-tions were held correctly for reconstruction of RVOT with transannular patch. The autologous pericardi-um was the most acceptable material for patch. All patients showed no obstruction of RVOT during early and late postoperative follow-up,althought most of them had certain degree of pulmonary regurgi-tation (PR) in first postoperative year, whicli was gradually attenuated as their life time long-drawn, with better exertion tolerance.

关 键 词：法乐氏四联症 心脏外科手术 

分 类 号：R654.2[医药卫生—外科学]