三房心15例的外科治疗

Surgical treatment of cor triatriatum in 15 patients

目的：总结三房心的临床治疗经验。方法：1994年初至2005年底共对15例三房心进行手术矫治。患者年龄0．5—40（14．6±10．3）岁。本组左型三房心14例，右型三房心1例；其中12例并存其他心内畸形。所有病例经右房切口，完整切除心房内异常隔膜，同期矫治心内并存畸形。结果：手术死亡1例；14例患者手术矫治成功，术后恢复良好。结论：手术治疗要及时；术中强调探查；手术治疗的效果取决于心内合并畸形的复杂情况及其手术矫正的彻底程度。

Objective To review the clinical data of pathological morphology, diagnosis, surgical treatment of cor triatriatum in 15 patients. Methods Fifteen patients with a mean age of （14.6 ± 10.3 ） years （range from 6 months to 40 years） were performed operations under extracorporeal circulation. Fourteen of the patients had cor triatriatum sinister, and 1 had car triatriatum dexter; 12 of the 15 patients had other cardiac abnormalities. The excision of the fibromuscular membrane was accomplished through a right atrial incision in all of the 14 cases, and the associated abnormalities were corrected at the same time. Results One patient died after the operation, and the other survivors had good outcome. Conclusion Operation is necessary if the diagnosis is clear. The patients generally have good prognosis. Surgical results of cor triatriatum depend on the complexity of associated defects and the adequacy of the repair.