双腔右心室的诊治(附11例报告)  

Diagnosis and treatment of double-chambered right ventricle

作　　者：傅雪颜[1] 王浩[1] 

机构地区：[1]杭州师范学院附属医院心胸外科,浙江杭州310015

出　　处：《杭州师范学院学报（医学版）》2006年第4期257-258,共2页Journal of Hangzhou Teachers College :Medical Edition

摘　　要：目的提高对双腔右心室诊治的认识。方法通过对本院11例双腔右心室病例的诊断和手术治疗经验的分析总结并复习相关文献资料。结果术前经超声心动图诊断6例,5例于术中确诊,其中单纯双腔右心室1例,合并室缺10例,合并房缺1例。所有患者均经右室切口疏通右心室梗阻并修补房室缺。无手术死亡患者。随访时间1-2年,患者无明显临床症状,生活质量明显改善。结论双腔右心室的诊断有赖于超声心动图检查和手术中探查,外科手术矫治心内畸形是唯一根治方法。Objective To evaluate the diagnosis and treatment of double-chambered right ventricle （DCRV）. Methods Clinical experience of diagnosis and surgical procedure in 11 patients with DCRV was analyzed, and relative literatures were reviewed. Results 6 patients with double-chambered right ventricle were diagnosed by eehocardiography before operation, the others were confirmed during operation, Only one case was pure DCRV, and 10 patients were complicated with other congenital cardiac anomalies： 10 cases with ventrieular septal defect and 1 case with atrial septal defect. The right ventricle obstruction had been dredged and VSD ＆ ASD had been repaired by operation in all the patients. All operations were successful, and no death and complication occurred. No patient had clinical symptom, and the quality of life in all patients had been improved greatly after 1-2 years follow-up survey. Conclusion The diagnosis of DCRV relies on echoeardiography and operative exploration. Operative correction is the only method to cure this disease.

关 键 词：双腔右心室 超声心动图 先天性心脏病 

分 类 号：R654[医药卫生—外科学]