摘要
目的总结早期治疗婴幼儿肺动脉狭窄型法洛四联症（TOF）的临床经验。方法2007年7月至2009年7月，本院共收治肺动脉狭窄型TOF患儿144例，年龄2．36个月，中位数8．2个月，体重4．5～13b，平均（8．7±2．8）kg。140例患儿接受一期根治手术，术中经右心室切口修补室间隔缺损及疏通右室流出道，其中52例患儿肺动脉及瓣环发育欠佳，行双片法跨瓣环补片治疗，4例患儿行分流手术治疗。结果本组围手术期死亡3例（2．1％），其余恢复顺利，痊愈出院。获门诊随访128例，随访时间3～24个月，患儿有心功能良好，无右室流出道梗阻。结论TOF患儿应在1岁以内治疗，经有心室路径矫治便于操作，术后右室功能良好，应用双片法进行跨环补片修补，疗效满意。
Objective To summary the experience of early surgical treatment of Tetralogy of Fallot （TOF） with pulmonary stenosis in infants. Methods From July 2007 to July 2009, 144 infants were enrolled in this study （male 85, female 59） with age ranged from 2 to36 （median 8.2） months and body weight ranged from 4.5 to 13 （mean 8.7 ± 2.8） kg. 140 patients underwent primary correction of TOF, a transventricular approach was used, and a transannular patch （double-patch） was inserted in 52 infants. Another 4 infants had a previous palliative shunt. Results There were 3 operative deaths （2.1%）, the others were recovery uneventfully. 128 cases were being referred to the outpatient department for follow-up which lasted for 3 to 24 months, all had good right ventricular function and freedom from re-operation for right ventricular outflow tract obstruction. Conclusions Infants with TOF should be early treatment at less than 1 year of age. A transventricular approach facilitates operation, and the right ventricular function is not likely to be affected by this approach. Excellent postoperative results have been achieved with the double-patch technique to enlarge the RVOT and the pulmonary trunk.
出处
《临床小儿外科杂志》
CAS
2010年第1期7-8,11,共3页
Journal of Clinical Pediatric Surgery
