婴儿期室间隔缺损的外科治疗。一期修补与肺动脉环扎术及二期修补。
Surgical treatment of ventricular septal defect in infancy. Primary repair versus banding of pulmonary artery and later repair.
作者信息
McNicholas K, de Leval M, Stark J, Taylor J F, Macartney F J
出版信息
Br Heart J. 1979 Feb;41(2):133-8. doi: 10.1136/hrt.41.2.133.
Abstract
Results of primary closure of ventricular septal defects are compared with those of two-stage repair, with banding of the pulmonary artery followed by debanding and closure. Apart from the high incidence of unsatisfactory results after banding and a significant morbidity with the two-stage approach, the mortality for primary repair (2.4%) is considerably lower than that achieved with the staged repair (19.3%). Primary repair of ventricular septal defect is advocated for infants resistant to maximal medical treatment. A more flexible policy is adopted for patients with multiple ventricular septal defects and those with associated anomalies.
摘要
将室间隔缺损一期修补的结果与两阶段修复的结果进行比较，后者先对肺动脉进行束带，然后解除束带并进行闭合。除了束带后效果不理想的发生率高以及两阶段方法存在显著的发病率外，一期修补的死亡率（2.4%）远低于分期修复的死亡率（19.3%）。对于最大程度药物治疗无效的婴儿，提倡进行室间隔缺损一期修补。对于有多个室间隔缺损的患者以及伴有相关异常的患者，采取更灵活的策略。
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本文引用的文献
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Pulmonary artery constriction (banding): a report of 146 cases.肺动脉缩窄（束带术）：146例报告
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The effect of corrective surgery on left heart volume and mass in children with ventricular septal defect.矫正手术对室间隔缺损患儿左心容积和质量的影响。
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Pulmonary artery banding and subsequent repair in ventricular septal defect.室间隔缺损的肺动脉环扎术及后续修复术
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Hemodynamic observations during and after pulmonary artery banding.肺动脉束带术期间及术后的血流动力学观察。
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