室间隔缺损术后残余漏的防治

目的：探讨室间隔缺损修补术后残余漏的原因，提出防治方法。方法：总结了室间隔缺损残余漏１８例，其中单室间隔缺损术后残余漏１２例，法乐氏四联症术后残余漏６例，均行二次心脏手术治疗。结果：二次心脏手术后，单纯室间隔缺损残余漏１２例，治愈１０例，死亡２例。法乐氏四联症术后残余漏６例，治愈４例，死亡２例。结论：手术技术不当、遗漏室间隔缺损是造成残余漏的主要原因。提高修补技术，术中探查室间隔缺损，掌握适当再手

Prevention and treatment of residual shunt after repair of ventricular septal defect

Objective: To elucidate the causes of residual shunt after VSD repair and to give correct methods of prevention and treatment. Methods: 18 cases of residual shunt after VSD repair including 12cases of isolated VSD and 6 cases of Tetralogy of Fallot (TOF) were reoperated and analyzed. Results:4 patients were died after reoperation (2 in isolate VSD and 2 in TOF). Follow-up showed the residual shunt from left ventricle to right ventricle (or atrium ) in other 14 cases was disappear. Conclusions: The main cause of residual shunt after VSD repair is the operative skills and omission of VSD. Improvement of surgical technique and careful exploration of VSD is the key to prevent the residual VSD. Prepare time of reoperation is important in treatment of residual shunt.