法洛四联症一期根治手术治疗的研究进展

One-stage Radical Surgery for Fallot Tetralogy

法洛四联症是最常见的先天性心脏病之一,位居紫绀型先天性心脏病的首位。随着心脏外科诊疗技术的不断提高,尽早采用外科手术纠治心脏畸形,消除或减轻乏氧症状已成为业界共识。其中,一期根治术因可显著地改善法洛四联症患儿的生活质量,保护脏器功能和避免再次手术风险等优势,逐渐成为外科治疗法洛四联症的焦点,但关于一期根治术的时机选择、手术适应证的确定及并发症的避免等问题,相关报道较少。现参考国内外近年来相关文献,对一期根治术的手术指征、手术时机以及手术并发症的防治做一综述。

Tetralogy of Fallot(TOF)is one of the most common congenital heart diseases,ranking the first in patients with cyanotic congenital heart disease.With the improvement of cardiac surgery diagnosis and treatment technology,it has become a consensus to treat cardiac malformation as soon as possible to eliminate or reduce the symptoms of hypoxia.Specially,one-stage radical surgery attracts the wide attention for its advantage in improving life quality,pretecting organ function,avoiding re-operation,ect.However,there are few reports about the timing of one-stage radical operation,the determination of operative indications and the avoidance of complications.Therefore,we try to find the answers to these questions by reviewing the relevant literature at home and aboard in recent years.