| 婴幼儿室间隔缺损修补术后残余分流的自发愈合 |
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| 引用本文： | 高波涛,郑景浩,陈会文,祝忠群,刘锦纷,徐志伟.婴幼儿室间隔缺损修补术后残余分流的自发愈合[J].中国胸心血管外科临床杂志,2011,18(6):507-509. |
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| 作者姓名： | 高波涛 郑景浩 陈会文 祝忠群 刘锦纷 徐志伟 |
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| 作者单位： | 上海交通大学医学院附属上海儿童医学中心心胸外科,上海,200127 |
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| 摘 要： | 目的探讨婴幼儿室间隔缺损（VSD）修补术后残余分流的预后。方法连续选取2008年l～6月上海交通大学医学院附属上海儿童医学中心407例（男255例、女152例）婴幼儿VSD患者，1岁以下273例，1～2岁88例，2～3岁46例，均采用戊二醛固定的自体心包补片连续缝合法进行修补。结果407例患者中29例出现小残余分流（≤0．4cm），残余分流率在1岁以下、1～2岁、2～3岁各年龄段之间差异无统计学意义（Y2=0．054，P=0．973）。随访29例，随访1．5个月～2年，26例患者残余分流愈合，其中23例为膜周型，残余分流位于VSD隔瓣下或VSD上、下缘，3例为肺动脉瓣下型；有3例残余分流患者随访中始终不愈合，残余分流无明显变化，均位于VSD上缘，无需再次手术。残余分流率在各类型VSD之间差异无统计学意义（2=1．035，P=0．596）。结论婴幼儿VSD修补术后小于0．4cm的残余分流大部分可以自发愈合。
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| 关 键 词： | 室间隔缺损 心包补片 残余分流 |
Spontaneous Closure of Residual Ventricular Septal Defect after Surgical Repair in Infant |
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| GAO Bo-tao,ZHENG Jing-hao,CHEN Hui-wen,ZHU Zhong-qun,LIU Jin-fen,XU Zhi-wei.Spontaneous Closure of Residual Ventricular Septal Defect after Surgical Repair in Infant[J].Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,2011,18(6):507-509. |
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| Authors: | GAO Bo-tao ZHENG Jing-hao CHEN Hui-wen ZHU Zhong-qun LIU Jin-fen XU Zhi-wei |
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| Institution: | GAO Bo-tao,ZHENG Jing-hao,CHEN Hui-wen,ZHU Zhong-qun,LIU Jin-fen,XU Zhi-wei.(Department of Pediatric Cardiothoracic Surgery,Shanghai Children's Medical Center,Shanghai Jiaotong University,Shanghai 200127,P,R.China) |
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| Abstract: | Objective To investigate the prognosis of residual shunt after surgical repair in infants.Methods We selected 407 consecutive infant patients(255 males and 152 females) with venticular septal defects(VSD) between January 2008 and June 2008 in Shanghai Children's Medical Center,Shanghai Jiaotong University.Of the patients,273 were less than 1 year old,88 were 1-2 years old,and 46 were 2-3 years old.All of whom underwent surgical repair of the ventricular septal defect with autologous pericardial defect treat... |
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| Keywords: | Ventricular septal defect Pericardial patch Residual shunt |
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