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目的 探讨复杂先天性心脏病进行减状手术的治疗效果。方法 采用回顾性分析法 ,分析 2 2例复杂先天性心脏病。其中 12例采用双向格林 (Glenn)术 ,10例采用体 -肺动脉分流术 (改良Blalock -Taussing人造血管分流术 ) ,通过对两种术式手术前后动脉血氧饱和度及肺血管情况的分析 ,进行评价。结果 12例双向Glenn术 ,死亡 1例 ,病死率8% ,10例体 -肺动脉分流术 ,无死亡病例 ,双向Glenn术及体 -肺动脉分流术均能提高动脉血氧饱和度及促进肺血管发育 (P <0 .0 5 ) ,体 -肺动脉分流术可明显改善动脉氧分压。结论 减状手术对不能安全进行双心室解剖矫治及房坦(Fontan)手术的紫绀型复杂先天性心脏病患者能缓解症状 ,增加生存率。
Objective To investigate the curative effect of reduction surgery on complex congenital heart disease. Methods A retrospective analysis was performed to analyze 22 complicated cases of congenital heart disease. Among them, 12 patients were treated with Glenn technique and 10 patients with pulmonary artery shunt (modified Blalock-Taussing artificial bypass). By analyzing arterial oxygen saturation and pulmonary blood flow before and after operation, Evaluation. Results Twelve patients were treated with Glenn technique, 1 died, 8% fatality, 10 body - pulmonary bypass, no death, bilateral Glenn technique and body - pulmonary artery shunt were able to improve arterial oxygen saturation and pulmonary vascular development (P <0.05). Pulmonary artery bypass shunt significantly improved the partial pressure of arterial oxygen. Conclusions Deformity surgery can relieve symptoms and increase survival rate in patients with cyanotic complex congenital heart disease who can not be safely biventricular anatomical and Fontan surgery.