Cen Yuhang,Lu Yanan.Application of valve-sparing surgery for tetraolgy of Fallot[J].Journal of Clinical Pediatric Surgery,2025,(02):191-195.[doi:10.3760/cma.j.cn101785-202404058-016]
保瓣手术策略在法洛四联症治疗中的应用进展
- Title:
- Application of valve-sparing surgery for tetraolgy of Fallot
- Keywords:
- Tetralogy of Fallot; Cardiac Surgical Procedures; Methods; Postoperative Complications; Pulmonary Valve Insufficiency; Pulmonary Valve; Valve Sparing
- 摘要:
- 法洛四联症(tetralogy of Fallot,TOF)是一种常见的先天性青紫型心脏病,占先天性心脏病的5%~7%。目前手术是TOF的主要治疗方式,大多数患儿经手术治疗后长期预后良好。手术治疗的目的在于解除右心室流出道狭窄,闭合室间隔缺损,尽可能保留肺动脉瓣和维护右心功能。肺动脉瓣反流(pulmonary regurgitation,PR)是TOF根治术后常见并发症,是导致许多不良结局的重要因素。除应用肺动脉瓣置换术治疗术后PR以外,保瓣手术策略逐渐成为TOF治疗的首选手术方式,可以有效预防术后PR的发生或加重,改善患儿预后。本文主要阐述保瓣手术在法洛四联症治疗中的应用进展,包括保瓣手术的应用指征、手术策略、预后以及实施保瓣手术面临的挑战。
- Abstract:
- As a common congenital cyanotic heart disease,tetralogy of Fallot (TOF) accounts for 5%-7% of congenital heart diseases (CHDs).Currently surgery has been a major treatment for TOF and long-term outcomes are satisfactory.The objectives of surgery include relieving stenosis of right ventricular outflow tract,closing ventricular septal defects,preserving pulmonary valve and maintaining right ventricular function as much as possible.Pulmonary regurgitation (PR) is a common complication after TOF surgery and it is an important factor leading to many adverse outcomes.In addition to postoperative PR with pulmonary valve replacement,valve-sparing surgery has gradually become a preferred option for TOF.It can effectively prevent the onset or aggravation of postoperative PR and improve patient outcomes.This review focused upon the indications,strategies,prognoses and challenges of valve-sparing surgery.
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备注/Memo
收稿日期:2024-4-26。
通讯作者:鲁亚南,Email:luyanan@yahoo.com