室间隔缺损合并主动脉瓣关闭不全115例外科治疗  

Surgical treatment of 115 cases ventrlcular septal defect associated with aortic valve insufficiency

作　　者：于溯洋[1] 黄秀红[1] 牛晓光[1] 李杰[1] 

机构地区：[1]河北医科大学第三医院心脏外科,河北省石家庄050051

出　　处：《中国基层医药》2009年第11期1977-1978,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨室间隔缺损合并主动脉瓣关闭不全的外科治疗。方法回顾115例室间隔缺损（VSD）合并主动脉瓣关闭不全（AI）病例，其中动脉干下型室间隔缺损者96例，膜周型者19例。手术均采用全身中度低温体外循环。室间隔缺损修补有16例行直接修补，余均采取补片修补术。对于主动脉瓣的病变，施行瓣膜成形术92例，5例无法作瓣膜成形者则施行主动脉瓣置换手术，18例单纯行室间隔补片修补术对主动脉瓣未作特殊处理。结果手术效果满意。术后随访4个月至2年，死亡10例，心功能Ⅰ级72例，Ⅱ级31例，Ⅲ级2例。结论室间隔缺损合并主动脉瓣关闭不全的患者进行同期外科治疗效果好。Objective To evaluate the surgical technique in ventrlcular septal defect（VSD） associated with aortic valve insufficiency（AI） patients. Methods 115 VSD patients associated with AI were retrospectively analyzed. 96 patients belong subarterial to VSD,membranous defect in i9 cases. Moderate hypothermia circulatory arrest in all cases. Direct closure of the VSD was undertaken in 16 cases and other cases repaired with patches. Aortic valvuloplasty in 92 eases, and 5 patients underwent aortic valve replacement. The other 18 eases were directly repaired the VSD with patches. Results The results of surgical treatment is satisfactory. In the 4 months to 2 years follow up, 10 patients died,NYHA eardie function 72 eases is Ⅰ ,31 is Ⅱ and 2 is Ⅲ. Conclusion Early and concomitant surgical treatment ventricular septal defect associated with aortic valve insufficiency can obtain an ideal results.

关 键 词：室间隔 主动脉瓣 手术 

分 类 号：R65[医药卫生—外科学]