微孔调控在全腔静脉-肺动脉连接术中的应用  

Use of micro pore regulation technique in total cavopulmonary anastomosis

作　　者：谌启辉[1] 王平凡[1] 李坤[1] 王明伟 CHEN Qi-hui;WANG Ping-fan;LI Kun;WANG Ming-wei(Henan Chest Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院小儿心脏中心,郑州450000

出　　处：《医药论坛杂志》2020年第12期42-45,共4页Journal of Medical Forum

基　　金：河南省医学科技攻关计划项目(2018020546)。

摘　　要：目的总结在全腔静脉-肺动脉连接术中应用“微孔”调控开窗的应用经验。方法回顾分析河南省胸科医院32例行全腔静脉-肺动脉连接术,术中行“微孔”调控开窗的患者。全部通过心脏彩超及计算机断层增强扫描(CTA),术前诊断大动脉转位2例,单心室16例,三尖瓣闭锁8例,右室双出口5例,三尖瓣下移畸形1例。全组患者术中均采用“微孔”调控法开窗。结果围术期死亡3例,总体死亡率9.37%,随访时间6月~5年,其中随访期间死亡1例、蛋白丢失性肠病1例。结论全腔静脉-肺动脉连接术中应用“微孔”调控法近期临床效果明显,且对术后血流动力学影响较小,可能有利于患者围术期平稳过渡。Objective To summarize the result of micro pore regulation technique in total cavopulmonary anastomosis.Methods Totally 32 patients received total cavopulmonary anastomosis,There was 2 patiens who was diagnosised Transposition Of the Great Arteris patients,16 Single Ventricle,8 Tricuspid Atresia,5 Double outlet of Right Ventricle,1 Ebstein Anomaly.Micro Pore Regulation Technique was used in all patients.Results Of study population,there was 3 death during perioperative period,The death ratio was 9.37%.In the follow-up,1 patiens was dead,1patien was diagnosised protein-losing Enteropathy.Conclusion The clinic result of Fontan procedure is effective in treating complex congeni heart disease and and Micro Pore Regulation Technique has very small impact on hemodynamic.

关 键 词：全腔静脉-肺动脉连接术 先天性心脏病 “微孔”调控法 

分 类 号：R541.1[医药卫生—心血管疾病]