婴儿大动脉转位/室间隔缺损合并肺动脉狭窄的外科治疗及文献复习  

The treatment of transposition of the great arteries with ventricular septal defect and pulmonary stenosis in infants

作　　者：孔娟娟[1] 黄景思[1] 邹鹏[1] 杨伟健[1] 刘琴[1] 饶姣 孙善权[1] Kong juanjuan;Huang jingsi;Zou peng;Yang weijian;Liu qin;Rao jiao;Sun shanquan(The Cardiac Center, Guangdong Children＇ s Hospital, Guangzhou 511442, China)

机构地区：[1]广东省妇幼保健院广东省儿童医院心脏中心,511442

出　　处：《辽宁医学杂志》2018年第2期37-40,共4页Medical Journal of Liaoning

摘　　要：目的探讨婴儿时期大动脉转位/室间隔缺损合并肺动脉狭窄的外科治疗体会。方法本中心2016年9月收治2例大动脉转位/室间隔缺损合并肺动脉狭窄的患者(年龄分别为10天和6个月),分别采用REV手术和Nikaidoh手术,均痊愈出院。结果 2组病例分别随访9个月和10个月,超声心动图检查提示仅有轻度肺动脉反流,心脏功能恢复良好,无左、右流出道梗阻。结论大动脉转位/室间隔缺损合并肺动脉狭窄的手术治疗技术提高,婴儿时期也可完成复杂畸形的矫治并收到良好的临床效果。Objective To examine the experience of the surgical treatment of transposition of the great arteries（TGA）with ventricular septal defect（VSD）and pulmonary stenosis（PS）in infants.MethodsTwo cases of TGA/VSD with PS were performed with REV surgery and Nikaidoh surgery in September 2016.The age were 10 days and 6 months.Results They were cured after surgery.The follow-up time were 9 months and 10 months.Only mild pulmonary valve was insufficiency.Right and left ventricular outflow tract obstruction was not found.Conclusion The clinical effects are good for surgical treatment of transposition of the great arteries（TGA）with ventricular septal defect（VSD）and pulmonary stenosis（PS）in infants.

关 键 词：大动脉转位/室间隔缺损 肺动脉狭窄 外科矫治 婴儿 

分 类 号：R726.5[医药卫生—儿科]