婴幼儿先天性气管狭窄伴复杂先心病的Ⅰ期纠治

目的：探讨婴幼儿先天性气管狭窄伴复杂先心病I期纠治的治疗效果。方法：2例手术年龄分别1.5岁和3岁的先天性气管狭窄伴法洛四联症患儿在体外循环下行气管狭窄纠治和四联症根治术。1例气管狭窄长约1.2cm，切除气管狭窄段，然后端端吻合；另1例气管狭窄长约6cm，切除3cm剪开形成两块补片，分别扩大剪开的气管前壁。总扩大气管狭窄段达6cm。结果：术后恢复良好。随访6个月-1年，呼吸平稳，CT示气管通畅，心脏超声检查无残余分流和梗阻。结论：纠治先天性气管狭窄半先心病，以I期手术治疗为好，不但术中在体外循环下纠治气管狭窄较安全，而且同时纠治先心病有利于手术后患儿康复。

Surgical repair of congenital tracheal stenosis associated with complex congenital heart disease in infants

Objective To evaluate results of one stage repair of congenital tracheal stenosis associated with complex congenital heart disease in infants.Methods Two infants with congenital tracheal stenosis associated with Tetralogy of Fallot were operated on at the age of 1.5 and 3 years respectively. In the younger child, the 1.2 ?cm long of tracheal stenosis was excised and anastomosed. The other case with 3?cm in length of stenosis at the mid segment of trachea was excised and repaired with a patch.Results The postoperative progress was uneventful. The patients were followed up for 6 months to 1 year without any complications.Conclusions One stage repair of congenital tracheal stenosis associated with complex congenital heart disease in infants has got satisfactory results. With cardiopulmonary bypass, the operation can be carried out safely.