摘要
右心室流出道重建是复杂先天性心脏病外科手术的重要基本步骤，但其在解决通畅性的同时会造成肺动脉瓣反流及右心功能受损，外科干预困难，效果不够理想。对右心室功能进行有效的保护已成为先天性心脏病外科关注的焦点。目前临床上采用的右心室功能保护策略主要有以下三类，包括尽量避免右心室切口或减少右心室切口的长度、保留或重建肺动脉瓣的功能、使用保留自体组织生长潜能的手术方式等。右心室功能的保护涉及多个方面，只有综合运用各种策略才能改善患者远期预后。
As a result of right ventricular outflow tract reconstruction, which is the important and basic step of complex cardiac surgery, the blood flow of right ventricular outflow tract is unobstructed, while pulmonary valve regurgitation and right heart dysfunction could be happened. These problems are often ignored in early days, more and more cases of right heart dysfunction need clinical intervention, which is quite difficult and less effective. How to protect effectively the right ventricular function is the focus. At present main methods to protect the right ventricular function include trying to avoid or reduce length of right ventricular incision, reserving or rebuilding the function of the puhnonary valve, using growth potential material for surgery. The protection of the right ventrieular function is a systemic project, it involves many aspects, single measures is difficult to provide complete protection, only the comprehensive use of various protection strategy, can help to improve the long-term prognosis.
作者
张勇
袁海云
刘晓冰
温树生
许刚
崔虎军
庄建
陈寄梅
Zhang Yong;Yuan Haiyun;Liu Xiaobing;Wen Shusheng;Xu Gang;Cui Hujun;Zhuang Jian;Chen Jimei(Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital （ Guangdong Academic of Medical Sciences ） , Guangdoag Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou 510100, China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2018年第6期410-413,共4页
Chinese Journal of Surgery
基金
广东省科技计划项目（2013803040001）
广东省医学科学技术研究基金（A2017097）
关键词
心脏缺损
先天性
心室功能
右
肺动脉瓣闭锁不全
Heart defects
congenital
Ventricular function
right
Pulmonary valveinsufficiency
