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三房心及合并心脏畸形的外科治疗(附37例报告) 被引量:5

Pathological morphology and surgical treatment of cor triatriatum associated with deformities
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摘要 目的 总结三房心的临床分型、合并畸形、诊断要点及外科治疗方法。方法  1979年 1月至 2 0 0 3年 5月对 37例三房心病人行手术治疗 ,其中男 2 1例 ,女 16例 ;年龄 0 6~ 35 0岁 ,平均 (9 8±8 6 )岁。Gasul分型 :I型 2例 ,IIa型 9例 ,IIb型 2 4例 ,III型 2例 ;完全型 31例 ,不完全型 6例。其中 32例合并其他心内畸形。 16例病人术前经超声心动图或心导管检查确诊 ,2 1例术中探查确诊。手术经右房切口进入左房 ,完整切除三房心隔膜 ,所有心内合并畸形均同期纠治。结果 手术死亡 3例 (8 11% )。手术成功 34例。术后随访 3~ 180个月 ,疗效满意。结论 三房心是一种少见的先天性心脏病 ,临床上采用双分型法 ,对合并心脏畸形者强调术中探查 ,手术关键在于纠治合并畸形 ,手术治疗效果良好。 Ovbective To summarize the clinic data of pathological morphology,diagnosis,surgical treatment and associated anomalies of cor triatriatum from 37 patients enlisted in this study. Methods Thirty-seven patients,21 males and 16 females with a mean age of (9.8±8.6) years were studied. Clinical pathologic anatomy of cor triatriatum was type I in 2 cases,type IIa in 9,type IIb in 24,and type III in 2. Complete cor triatriatum in 31 cases and incomplete cor triatriatum in 6. Thirty-two cases (86%) accompanied with other cardiovascular anomalies. Diagnosis was made in 16(43%) cases preoperatively. All patients had excision of the fibromuscular membrane through the right atrial transseptal approach. Results The mortality rate in this group was 8.11% (3 of 37 cases). Thirty-four cases were followed up after surgery from 3 months to 15 years was satisfactory. Conclusion Cor triatriatum is a rare congenital cardiac anomaly. Treatment of associated deformities was a committed step in cor triatriatum surgical correction. Result of surgical treatment was satisfactory.
出处 《中华胸心血管外科杂志》 CSCD 北大核心 2004年第4期214-215,共2页 Chinese Journal of Thoracic and Cardiovascular Surgery
关键词 三房心 合并症 心脏畸形 外科治疗 临床分型 Cor triatriatum Pathology Cardiac Surgical procedure
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