| 张洪宇,王为新,乔衍礼,陈国庆,郑善光.部分型房室管畸形外科治疗51例[J].济宁医学院学报,2011,(1):28-29,31 |
| 部分型房室管畸形外科治疗51例 |
| Surgical treatment of partial atrioventricular canal defect in 51 cases |
| 投稿时间：2010-12-05 |
| DOI：10.3969/j.issn.1000-9760.2011.01.010 |
| 中文关键词: 部分型房室管畸形|房间隔缺损|二尖瓣关闭不全 |
| 英文关键词: Partial atrioventricular canal defect|Atrial septal defect|Mitral valve insufficiency |
| 基金项目: |
| 作者 | 单位 | | 张洪宇 | 济宁医学院附属医院, 山东济宁 272029 | | 王为新 | 济宁医学院附属医院, 山东济宁 272029 | | 乔衍礼 | 济宁医学院附属医院, 山东济宁 272029 | | 陈国庆 | 济宁医学院附属医院, 山东济宁 272029 | | 郑善光 | 济宁医学院附属医院, 山东济宁 272029 |
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| 中文摘要: |
| 目的 总结部分型房室管畸形手术治疗的经验,以提高治疗效果。方法 回顾性分析我院2005年5月至2009年7月外科治疗部分型房室管畸形患者51例。均合并二尖瓣大瓣裂,瓣裂修补采用间断缝合并部分连续缝合加固43例,"8"字缝合及单纯连续缝合各1例,反流较轻未处理6例;原发孔型房间隔缺损的修补均采用自体心包连续缝合,其中22例将冠状静脉窦口隔入左心房;合并畸形均予以同期处理。结果 无早期死亡病例。术后发生Ⅲ°房室传导阻滞1例,7天后恢复窦性心律。术后随访43例,随访时间2月~4 a,心功能均有明显改善,为Ⅰ~Ⅱ级。结论 部分型房室管畸形手术治疗的关键是完善修复二尖瓣关闭不全和原发孔型房间隔缺损、避免房室传导阻滞及合并畸形的处理。 |
| 英文摘要: |
| Objective summarize the experiences of surgical treatment for partial atrioventricular canal defect.Methods The data of 51 patients of surgical treatment for partial atrioventricular canal defect from May 2005 to July 2009 were analyzed retrospectively.The cleft of mitral valve were presented in all patients.There were 43 cases with interrupted suture and some of which were strengthened with continuous suture on cleft, 1 cases with figure-of-eight suture, 1 case with continuous suture, 6 cases with no suture because of light insufficiency.The foramen primum atrial septal defects were repaired with autologous pericardium in all cases.The orifice of coronary sinus vein was situated on the left atrium in 22;meanwhile other heart abnormalities were dealt with.Results There was no early death.Complications of completed A-V block was in 1 case and it turned to sinus rhythm after 7 days.43 cases were followed up, and follow-up time was 2 months to 4 years.All patients had better life.Their cardiac functions were class I~II.Conclusion The key points of operation are to rectify the mitral insufficiency, repair foramen primum atrial septal defects, avoid atrioventricular block and repair other heart abnormalities. |
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