诺伍德手术治疗左心发育不全综合征

THE EXPERIENCE OF NORWOOD PROCEDURE FOR TREATING HYPOPLASTIC LEFT-HEART SYNDROME

目的:探讨诺伍德手术治疗左心发育不全综合征的方法和疗效。方法:本组患儿13例,均经主动脉重建,肺动脉重建。其中,在肺动脉重建中,采用B-T分流4例,RV-PA管道连接9例。结果:患儿手术后死亡6例,存活7例中,4例患儿完成BDG手术,3例患儿完成TCPC手术,血流动力学满意。结论:诺伍德手术治疗左心发育不全综合征,手术效果肯定,术后并发症和病死率较低。

Objective：To evaluate the efficacy of Norwood procedure for treating hypoplastic left - heart syndrome （HLHS）. Methods. Aorta and pulmonary reconstruction were performed on 13 patients by Norwood procedure with B -T shunt （4 cases） and RV - PA conduit （9 cases）. Results. Six patients died after operation. Others were alive and well. Hemodynamic was satisfactory. In addition, 4 cases completed second stage and 3 cases completed third stage successfully. Conclusion. Norwood procedure on aorta and pulmonary reconstruction with B -T shunt or RV - PA conduit is effective for HLHS with lower complications and mortality rates.