室间隔膜部瘤合并室缺的外科治疗

Surgical treatment of ventricular septal defect combined with aneurysm of ventricular septum

为了阐明室间隔膜部瘤合并室缺的临床特征和外科治疗原则。我们对1985年6月至1995年3月共收治的17例病人，在体外循环下进行手术修补，木中发现室缺位于膜部者15例、肺动脉瓣下者2例，瘤破口大小为0．3～0．6cm，瘤体大小为0．5cm×1．0cm～2．0cm×3．0cm。结果：本组无手术死亡，随访6～110个月，病人情况良好。结果显示：室间隔膜部瘤的手术要点，应剪开瘤囊，从基底部进行缝合修补，再将瘤囊覆盖重新心内膜化的作法最佳。

In order to elucidate the clinical feature and surgical treatment of ventricular septal defect (VSD) com-bined with aneurysm of ventricular septum, 17 patients were studied from June 1985 to March 1995. Operations wereperformed under moderate hypothermia extracorporeal circulation. VSD were in membranous in 15 cases,subpulmonaryvalve in 2. The orifices were 0. 3cm~ 0. 6cm,and the diameters of aneurysm were 0. 5cm ×1.0cm^2. 0ccm ×3. 0cm.There were not operative death in this group of patients, and all patients were in good condition in the follow-up periodsfrom 6 to 110 months. The principle of surgical treatment of VSD with aneurysm of ventricular septum is to open thewall of aneurysm, and direct repair or with a patch from the base. then close the pall of aneurysm.