完全性房室间隔缺损矫正手术后房室瓣反流——不同手术技术的比较
Regurgitation of the atrioventricular valves after corrective surgery for complete atrioventricular septal defects - comparison of different surgical techniques.
作者信息
Krasemann T, Debus V, Rellensmann G, Rukosujew A, Scheld H-H, Vogt J, Tjan T D T
机构信息
Department of Paediatric Cardiology, University Children's Hospital Muenster, Muenster, Germany.
出版信息
Thorac Cardiovasc Surg. 2007 Jun;55(4):229-32. doi: 10.1055/s-2006-955953.
OBJECTIVE
Different surgical approaches have been used to repair complete atrioventricular septal defects (AVSD). Regurgitant atrioventricular valves (AV-valves) are common after surgery. We compared different surgical techniques with respect to long-term postoperative AV-valve regurgitation.
METHODS
In 69 patients with complete AVSD, three different surgical techniques were applied: Single-patch, two-patch, and modified techniques. The left-sided AV-valve cleft was surgically closed in all patients.
RESULTS
A comparison of the results of the different techniques showed no difference in the degree of AV-valve regurgitation on either the right or the left side. The average degree was mild on both sides. Only one patient needed reoperation for severe left-sided AV-valve regurgitation.
CONCLUSION
The different surgical techniques used for the correction of AVSD do not have a major bearing on the degree of AV-valve regurgitation.
目的
已采用不同的手术方法来修复完全性房室间隔缺损（AVSD）。术后反流性房室瓣（AV瓣）很常见。我们比较了不同手术技术在术后长期AV瓣反流方面的情况。
方法
对69例完全性AVSD患者应用了三种不同的手术技术：单补片、双补片和改良技术。所有患者均通过手术闭合左侧AV瓣裂。
结果
不同技术结果的比较显示，右侧或左侧AV瓣反流程度无差异。两侧平均程度均为轻度。仅1例患者因严重左侧AV瓣反流需要再次手术。
结论
用于矫正AVSD的不同手术技术对AV瓣反流程度影响不大。
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