合理选择心室间隔缺损修补术径路

Reasonable Selection of Various Repair Approaches to Ventricular Septal Defect

本文报道自１９８８年３月～１９９５年１１月收治的心室间隔缺损２１９例。其中膜周型缺损１００例（４５．７％），隔瓣后型６１例（２７．９％），干下型５８例（２６．４％）。手术修补膜周型室缺宜用右心房切口。干下型室缺可采用肺动脉切口。全组采用右房及肺动脉切口者１５３例（７０％）。当室缺类型判断不明或显露欠佳时可选用右心室切口。

Abstract Two hundred and nineteen patients with ventricular septal defect( V S D ),including 100 cases(45 7%)of the perimembranous type,61 cases(27 9%)of the retroseptal type and 58 cases(26 4%)of the subpulmonary type,were