摘要
为评估右心房径路法乐四联症矫正术对改善右心室功能的临床价值。将６０例法乐四联症病人均分为两组，分别经右房或右室径路行心内修复术。应用核素心室显像、心电监测、多普勒彩色超声心动图等检查，观察术后左、右心室功能变化及心律失常、肺动脉瓣关闭不全发生情况。结果示右房径路组术后右心室收缩功能优于右室径路组，术后心律失常及肺动脉瓣关闭不全发生率明显为低。术终右室与左室收缩压比值，两组差异无显著意义。作者认为经右心房径路施行法乐四联症矫正术，在保护右心室功能、减少术后心律失常及肺动脉瓣关闭不全等方面优于常规的右心室径路。
Purpose:To assess the value of transatrial approach in surgical correction of tetralogy of Fallot(TOF).Methods:Sixty patients with TOF were divided into transatrial group(n=30)and transventricular group(n=30)according to the surgical approach chosen for correction of the cardiac anomalies.Left and right ventricular function,the incidence of arrhythmia,and pulmonary regurgitation were studied postoperatively by radionuclde angiocardiography,electrocardiograph and colour Doppler echocardiography.Results:the contractile function of right ventricle was better in transatrial approach group.The incidences of arrhythmia and pulmonary regurgitation were lower. No significant difference in the ratio of systolic pressures of both ventricles in these two groups was detected in the operating room.Conclusion:the results with transatrial approach show that the function of right ventricle is better preserved and the incidences of postoperative arrhythmia and pulmonary regurgitation are reduced.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1996年第6期324-326,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
法乐氏四联症
矫正术
右心房径路
心功能
Surgical correction of tetralogy of Fallot Transatrial approach Postoperative functional assessment
