不切开右心室根治法洛四联征  

Radical operation through right atrium and main pulmonary artery approach for the treatment of tetralogy of Fallot

作　　者：高宏[1] 蔡振杰[1] 

机构地区：[1]陕西省人民医院心脏外科,西安710068

出　　处：《临床外科杂志》2010年第11期773-775,共3页Journal of Clinical Surgery

摘　　要：目的 探讨经右心房和主肺动脉径路根治法洛四联征的手术适应证和手术效果.方法 对33例患者采用经右心房和主肺动脉径路行法洛四联征根治术.结果 全部患者存活.术后仅需小剂量多巴胺支持.术后随访12～32个月,无明显肺动脉瓣返流,心功能良好.结论 肺动脉瓣环发育良好的法洛四联征患者均可经右心房和主肺动脉径路根治,保持肺动脉瓣完整、无右心室切口,保护右心功能、减少围手术期并发症,取得很好的近、中期手术疗效.Objective To examine the indications and efficacy of the radical operation through right atrium and main pulmonary artery approach for the treatment of tetralogy of Fallot. Methods A total of 33 patients with tetralogy of Fallot underwent radial operations through right atrium and main pulmonary artery approach. Results All patients survived postoperatively and were given only small do- ses of dopamine to support the hearts. The follow - up lasted 1 to 20 months and the cardiac function of all the patients was NYHA I. Conclusion Radical operation through right atrium and main pulmonary ar- tery approach was effective in the treatment of tetralogy of Fallot with well - developed pulmonary valve, protecting right ventricle function and reducing ventricle arrhythmia.

关 键 词：法洛四联征 右心房 肺动脉 

分 类 号：R654.2[医药卫生—外科学]