成人法洛四联症的手术治疗

The operation treatment of tetralogy of fallot in adults

目的总结成人法洛四联症根治术外科治疗经验。方法1994年11月-2007年1月收治16岁以上成人法洛四联症病人30例,手术根治。所有病例均经右室切口疏通右室流出道,同时修补室间隔。单纯右心室流出道补片18例,跨瓣环补片6例,右室切口直接缝合6例。结果术后室间隔残余分流1例（直径3mm）。死亡1例,死亡率3.33%。结论根据成人法洛四联症特点,合理设计手术方案,成人法洛四联症根治可取得良好效果。

Objective To summarize the experience of radical treatment of tetralogy of fallot in adults. Methods Between Nov. 1994 and Jan. 2007,30 patients over 16 years of age with tetralogy of fallot underwent total surgical correction. Longitudinal or oblique right ventriculotomy was used to ensure complete release right ventricular outflow obstruction and complete ventricular septal defect closure. Simply right ventricular outflow tract patches in 18 cases, transannular patches were used in 6 patients, primary closure of right ventricle in 6 cases. Results One patient had residual septal defect. One patient died, early postoperatively with the mortality rate of 3.33%. Conclusions By careful surgical management, the treatment of total correction in adult patients may result in good effectiveness.