改良法治疗心上型完全性肺静脉异位引流  

Improved treatment of total anomalous pulmonary venous drainage(supracardiac anastomosis)

作　　者：李炜[1] 周艳荣[2] 陈柏成[1] 陈林[1] 肖颖彬[1] 安琪[3] 

机构地区：[1]第三军医大学新桥医院心血管外科,重庆400037 [2]第三军医大学西南医院儿科,重庆400038 [3]四川大学附属华西医院心血管外科,四川成都610041

出　　处：《局解手术学杂志》2014年第2期165-167,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的：总结心上径路吻合法的经验,探讨治疗心上型完全性肺静脉异位引流（ TAPVC）的最佳手术方法。方法2000年1月至2008年4月四川大学华西医学中心共收治完全性肺静脉异位引流（心上型）52例,其中男35例,女17例,年龄1个月至41岁,体质量3.1-77 kg,全部采用心上径路吻合法进行手术。结果1例死亡,51例痊愈出院,术后无出现吻合口狭窄和心律失常的发生,45例患者参加随访,随访时间3个月至12年,心功能均正常。结论采用心上径路吻合法治疗心上型TAPVD可减少心律失常的发生,是治疗TAPVC（心上型）较好的手术方法。Objective To summarize the effect of venous anastomisis from left atrium-common venous anastomisis （ supracardiac anasto-mosis） at the top of left atrium,and to find the best method to treat total anomalous pulmonary venous connection （ TAPVC） . Methods 52 cases,of which 35 male and 17 female with the age of 1 month to 41 years old and the weight of 3. 1-77 kg,hospitalized in West China hos-pital from January 2000 to April 2008,were treated by supracardiac anastomosis. Results One was dead and the other 51 cases were fully recovered and left hospital. After the operation,no anastomotic stenosis or arrhythmia was observed except the dead one. During follow-up peri-od which lasted from 3 months to 12 years,the heart function of 45 cases were normal. Conclusion supracardiac anastomosis can reduce the risk of anastomotic stenosis and arrhythmia,it is a promising method to treat supracardiac type TAPVC .

关 键 词：完全性肺静脉异位引流 心上型 外科治疗 

分 类 号：R654.2[医药卫生—外科学]