重症法洛四联症的镶嵌手术治疗  

Hybird therapy for severe tetralogy of fallot

作　　者：刘浪[1] 陈凯明[1] 赖锋华[1] 林世廷[1] 朱伯卫[1] 陈泽科[1] 钟瑞平[1] 

机构地区：[1]高州市人民医院心血管外科,广东省525200

出　　处：《中国心血管病研究》2013年第4期281-284,320,共5页Chinese Journal of Cardiovascular Research

摘　　要：目的总结重症法洛四联症（TOF）镶嵌手术的临床经验，探讨其方法、效果和意义。方法筛选病例：重症发绀型法洛四联症17例，通过超声心动图和螺旋CT检查确诊。术前介入治疗：重症TOF在根治术前予以侧支血管堵塞术，其中2例采用AGAPlug血管塞堵闭体肺侧支血管，1例采用国产先健动脉导管未闭（PDA）Amplatzer封堵器，其余均采用COOK非可控弹簧圈栓塞体肺侧支血管。侧支血管堵塞术后立即行一期外科根治手术。结果全组手术皆获得满意效果。随访2．0-2．5年，无严重并发症，患儿发育正常。结论镶嵌手术治疗重症TOF安全、有效、可行，比单一外科手术效果好。Objective To summarize the clinical experience of medical and surgical hybrid therapy for severe tetralogy of fallot, and to explore its therapy methods, effect and significance. Methods Selecting cases： Severe cyanotic type tetralogy of fallot 17 cases, making a definite diagnosis by means of ultrasonic cardiogram （UCG）and Spiral CT. Transcatheter aortaopulmonary collateral vessels embolization on patients with severe tetralogy of Fallot were performed before radical operation, among them, 2 cases using vascular plug, 1 cases using do mestic Lifetech PDA Amplatzer, others using noncontrollable COOK spring coils. After collateral vessels emholiza tions, onestage radical operations were performed immediately. Results Satisfactory results were acquired from all patients. After 2.0 to 2.5 years followup, these patients were no serious complication, and all children grown up normally. Conclusion Compared with the traditional surgery therapy, hybrid therapy for severe tetralogy of Fallot is more effective, practicable and safer.

关 键 词：法洛四联症 镶嵌 侧支循环 

分 类 号：R726.542[医药卫生—儿科]