按STS-EACTS数据库分类的右室双出口手术方法和结果分析  

The outcome of double-outlet right ventricle based on the STS-EACTS classification

作　　者：王顺民 徐志伟[1] 陆兆辉 刘锦纷[1] 张海波[1] 郑景浩[1] 严勤[1] 苏肇伉[1] 丁文祥[1] 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心心胸外科,200127

出　　处：《中华小儿外科杂志》2007年第5期225-227,共3页Chinese Journal of Pediatric Surgery

基　　金：上海市科委科研基金(004119083)

摘　　要：目的上海儿童医学中心心胸外科数据库采用STS-EACTS数据库颁布的右室双出口(DORV)命名和分类方案后(以下简称为"新方案"),报道该中心外科治疗DORV的新进展。方法2000年5月～2006年5月302例DORV患儿接受手术治疗,根据"新方案"将研究对象分4组,A组:79例,DORV为VSD型;B组:133例,DORV为四联症型;C组:34例,DORV为TGA型;D组:56例,DORV为VSD远离大动脉型。分析"新方案"与DORV手术方法和手术病死率的相关性。结果总病死率7.9%(24/302)。A组和B组的病死率分别为1.3%(1/79)和4.5%(6/133),低于C组(23.5%,8/34)和D组(16.1%,9/56),DORV的新分类方案与住院病死率和手术方法选择有显著的相关性。结论"新方案"有利于数据库对临床资料的搜集和整理,根据"新方案"选择优化的手术方法,可以提高DORV外科疗效。Objective To review the outcome of repair of double outlet right ventricle （DORV） was reviewed based on the new classification of STS-EACTS database. Methods From May, 2000 to May, 2006, 302 cases of DORVs were operated on in Shanghai Children＇s Medical Center. The patients＇ groups were categorized according to the classification of STS-EACTS; group A（n = 79） is ventricular septal defect （VSD）; group B （n = 133） is Tetralogy of Fallot （TOF）; group C （n = 34） is TGA; group D （n = 56） is DORV with remote VSD. The relationships between hospital death, surgical managements and STS-EACTS classification were analyzed. Results Results The overall hospital mortality rate was 7.9%（24/302）. The hospital mortality rates for group A （1.3%, 1/79 ） and group B （4. 5 %, 6/133） were significant lower than those of group C （23.5 %, 8/34 ） and group D （16. 1%, 9/56）. The correlation between the hospital death, surgical managements and STS-EACTS classification was significant. Conclusions The STS-EACTS classification is beneficial in optimizing the strategies and improving the operative outcomes in DORV.

关 键 词：数据库 右室双出口 心脏外科手术 

分 类 号：R726.5[医药卫生—儿科]