Sutureless技术在完全性肺静脉异位连接手术中的应用  

Sutureless technique application in total anomalous pulmonary venous connection surgery

作　　者：季尔超 刘晓冰 庄建 Ji Erchao;Liu Xiaobing;Zhuang Jian(Department of Cardiovascular Surgery,Guangdong Provincial People’s Hospital,South China University of Technology,Guangzhou 510100,China;Department of Cardiovascular Surgery,Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences,Guangdong Cardiovascular Institute,Guangzhou 510100,China)

机构地区：[1]华南理工大学附属广东省人民医院心血管外科,广州510100 [2]广东省人民医院(广东省医学科学院),广东省心血管病研究所心血管外科,广州510100

出　　处：《中华胸心血管外科杂志》2021年第6期380-384,共5页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：Sutureless技术治疗完全性肺静脉异位连接(TAPVC)术后肺静脉梗阻具有良好疗效,现已广泛应用于TAPVC的一期矫治。采用sutureless技术行一期矫治,与常规手术相比,术后死亡比例及再手术率较低,但吻合口的潜在出血、膈神经损伤、空气栓塞等并发症的存在,使得该术式在安全性和有效性方面尚存在争议。本文综述了近年来国内外sutureless技术在TAPVC外科矫治中的研究现状。Sutureless technique is effective for the treatment of pulmonary vein obstruction after total anomalous pulmonary venous connection(TAPVC)surgery and has been widely used for primary correction of TAPVC.Sutureless repair had more convincing surgical outcomes,including lower mortality and reoperation rate,compared with conventional repair.However,sutureless technique also has some complications,including potential bleeding at the anastomotic site,phrenic nerve injury,air embolism.The safety and effectiveness are still controversial.This article reviewed the research status of sutureless technology in surgical correction of TAPVC in recent years.

关 键 词：完全性肺静脉异位连接 空气栓塞 再手术率 常规手术 吻合口 TAPVC 外科矫治 一期矫治 

分 类 号：R654.3[医药卫生—外科学]