双向腔肺分流术在复杂先心病治疗中的应用  

Treatment of the patients with complex congenital heart disease with bidirectional cavopulmonary shunt procedure

作　　者：孙勇[1] 廖崇先[1] 舒涛[1] 杨谦[1] 单忠贵[1] 邱风[1] 

机构地区：[1]厦门大学附属中山医院,厦门心脏中心心血管外科,福建省361004

出　　处：《中国心血管病研究》2011年第9期682-684,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的探讨运用双向腔静脉-肺动脉分流术（BCPS）治疗复杂先心病的疗效及安全性。方法47例复杂先心病患者，21例在体外循环下，26例在非体外循环下完成BCPS手术。共行单侧BCPS术30例，双侧BCPS术17例。结果术后同术期死亡3例，病死率6．38％。随访35例，有7例术后2年左右进行二期根治手术，2例术后2年死亡，余26例心彩超复查无吻合口狭窄，发绀得到不同程度的缓解，心功能改善，生活质量明显提高。结论双向腔静脉-肺动脉分流术对于不能一期矫治的功能性单心室类复杂先心病患者是一种有效的姑息手术方法，非体外循环下行腔肺吻合术有助于心、肺功能的早期恢复，还可减少患者的住院开支，是安全、可行且有利的。Objective To review the experience of bidirectional cavopulmonary shunt in the patients withcomplex congenital heart disease. Methods Forty seven patients underwent bidirectional cavopulmonary shunt, twenty one patients with cardiopulmonary bypass and twenty six patients without cardiopulmonary bypass. Results Three patients died after operation. Of forty four survivors, thirty five patients were follow-up surveyed. Only seven patients underwent two-stage correction after two year of operation. Two patients died two years after operation. In the other twenty six patients, no obstruction of superior vena cava was found, and their symptom of cyanosis was improved remarkably. Conclusion Bidirectional cavopulmonary shunt is an efficient and reliable method for the patients with complex congenital heart disease who are not suitable candidates for one stage correction. Bidirectional cavopulmonary shunt without cardiopulmonary bypass is a feasible and economically beneficial choice.

关 键 词：双向腔静脉-肺动脉分流术 复杂先天性心脏病 外科手术方法 

分 类 号：R654.2[医药卫生—外科学]