真性及假性室间隔膜部瘤的临床研究

目的探讨真、假性室间隔膜部瘤的诊断、外科治疗方法及疗效。方法回顾性分析2005年1月—2011年12月我院对真性或假性室间隔膜部瘤485例患者,于全麻低温体外循环下行心内直视修补术的临床资料,并对451例患者进行术后随访。结果超声心动图是术前诊断的主要手段,术中所见最后确定真性或假性膜部瘤,并采用不同的手术方法。485例患者手术治疗无死亡,无合并症。术后对451例膜部瘤患者随访10月～7年(平均4.8±2.73)年,近、远期疗效均满意。结论对于真、假性膜部瘤患者均应行手术治疗,手术中根据不同情况采用相应手术方式均能获得满意的效果。

Clinical research of aneurysm and pseudoaneurysm of membranous ventricular septum

Objective To explore the diagnosis and the surgical treatment of aneurysm and pseudoaneurysm of membranous septum in ventricular septal defect(VSD).Methods A total of 485 patients with aneurysm and pseudoaneurysm of membranous septum,who underwent surgical operation under general anesthesia and hypothermic cardiopulmonary bypass in our hospital from January 2005 to December 2011,were retrospectively analyzed.Postoperative follow-up was made in 451 patients.Results Echocardiography was the dominant examination method.Operation findings determined aneurysm or pseudoaneurysm of membranous septum,and different operation methods were carried out afterwards.There was neither death nor complications like leakage,A-V block,tricuspid insufficiency and aortic insufficiency.The follow-up in the 451 patients lasted from 10 months to 7 years(mean = 4.8 ± 2.73 years).The satisfactory results showed in short-and long-term outcomes.Conclusion Operation is necessary for the patients of aneurysm and pseudoaneurysm of membranous septum in VSD.The corresponding surgical method is based on the findings during operation,and the outcome is satisfactory.