跨瓣环与保留瓣环补片在法洛四联症矫治术患儿中的应用效果比较  

Comparison of application effects of transannular patch and preserved valve ring patch in children with tetralogy of Fallot correction surgery

作　　者：王蕊 刘丹丹 张自然[1] WANG Rui;LIU Dandan;ZHANG Ziran(1^(st) Ward of Department of Cardiac Surgery of the 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市第七人民医院心外一病区,河南郑州450000

出　　处：《中国民康医学》2024年第23期131-134,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较跨瓣环与保留瓣环补片在法洛四联症矫治术患儿中的应用效果。方法:回顾性分析2021年4月至2023年5月该院收治的100例法洛四联症患儿的临床资料,根据解除右心室流出道狭窄的方式不同将其分为观察组与对照组各50例。两组均行法洛四联症矫治术,观察组采用跨瓣环补片,对照组采用保留动脉瓣环。比较两组手术前后肺动脉瓣压力阶差(PTG)、动脉血氧饱和度(SaO_(2))、肺动脉发育指标(肺动脉瓣环直径、Nakata指数、Mc Goon比值)水平、心脏结构参数[右心室舒张末期内径指数(RVEDDI)、左心室舒张末期容积指数(LVEDVI)、左心室舒张末期内径指数(LVEDDI)]水平,以及术后再干预率。结果:术后6个月,两组PTG水平均低于术前,且观察组低于对照组,两组SaO_(2)水平均高于术前,且观察组高于对照组,差异有统计学意义(P>0.05);术后6个月,两组Nakata指数、Mc Goon比值、肺动脉瓣环径均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);术后12个月,两组RVEDDI、LVEDVI水平均高于术前,且观察组高于对照组,两组LVEDDI水平均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);两组再干预率比较,差异无统计学意义(P>0.05)。结论:跨瓣环补片应用于法洛四联症矫治术患儿可提高SaO_(2)、肺动脉发育指标水平,改善心脏结构参数水平,以及降低PTG水平的效果优于保留动脉瓣环。Objective:To compare application effects of transannular patch and preserved valve ring patch in children with tetralogy of Fallot correction surgery.Methods:The clinical data of 100 children with tetralogy of Fallot admitted to this hospital from April 2021 to May 2023 were retrospectively analyzed.According to the different ways of relieving the stenosis of right ventricular outflow tract,they were divided into observation group and control group,50 cases in each group.Both groups underwent correction surgery of tetralogy of Fallot.The observation group was treated with transannular patch,while the control group was treated with preserved valve ring patch.The pulmonary transvalvular gradient(PTG),the arterial oxygen saturation(SaO2),the pulmonary artery development index(pulmonary valve ring diameter,Nakata index,McGoon ratio)levels,the cardiac structural parameters[right ventricular end-diastolic diameter index(RVEDDI),left ventricular end-diastolic volume index(LVEDVI),left ventricular end-diastolic diameter index(LVEDDI)]levels,and the postoperative reintervention rate were compared between the two groups before and after the surgery.Results:At 6 months after the surgery,the PTG levels of the two groups were lower than those before the surgery,and that in the observation group was lower than that in the control group;the SaO2 levels of the two groups were higher than those before the surgery,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P>0.05).At 6 months after the surgery,the levels of Nakata index,McGoon ratio and pulmonary valve ring diameter of the two groups were higher than those before the surgery,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).At 12 months after the surgery,the levels of RVEDDI and LVEDVI in the two groups were higher than those before the surgery,and those in the observation group were higher than those in the control

关 键 词：跨瓣环 保留瓣环 法洛四联症 矫治术 肺动脉 

分 类 号：R541.1[医药卫生—心血管疾病]