上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (9): 1226-.doi: 10.3969/j.issn.1674-8115.2011.09.003

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小儿先天性心脏病手术治疗进展

徐志伟   

  1. 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
  • 出版日期:2011-09-28 发布日期:2011-09-27
  • 作者简介:徐志伟（1952—）, 男, 主任医师, 博士生导师；电子信箱: zwxumd@online.sh.cn。

Progress of surgical treatment of pediatric congenital heart disease

XU Zhi-wei   

  1. Department of Cardiovascular and Thoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2011-09-28 Published:2011-09-27

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摘要：

近年来，先天性心脏病（CHD）手术治疗的诊治观点和方法有了较大的改进。左心发育不良综合征（HLHS）的手术方法改进和介入治疗明显提高了手术的成功率；掌握法洛四联症（TOF）右心室流出道梗阻的处理，减少了术后右心室功能的损伤；完全性肺静脉异位引流术（TAPVC）后肺静脉回流梗阻的处理、完全性大动脉错位（TAG）和纠正性大动脉错位（ccTGA）的手术方法更新，使复杂CHD得到了更合理的手术治疗。随着对CHD手术方法的不断改进，手术成功率逐渐提高，并发症进一步减少，明显改善了患儿术后的生活质量，提高了手术的远期疗效。

关键词: 先天性心脏病, 左心发育不良综合征, 法洛四联症, 完全性肺静脉异位引流, 完全性大动脉错位, 纠正性大动脉错位

Abstract:

In recent years, the surgical treatment and operative procedure for congenital heart disease (CHD) have been greatly improved. The surgical results of hypoplastic left heart syndrome (HLHS) have been improved by modified operative procedure and intervention. With proper management of the right ventricle outflow tract in tetralogy of Fallot (TOF), right ventricle heart function can be improved after operation. The surgical repair of pulmonary venous obstruction after operation of total abnormal pulmonary venous connection (TAPVC), and the renewed operative procedure of transposition of the great arteries (TGA) and congenital corrected transposition of the great arteries (ccTGA) facilitate the rational surgical treatment of complex CHD. With improvement of operative procedure for CHD, the operative successful rate is increased, the incidence of complications is decreased, and the quality of life and long-term surgical outcomes are improved.

Key words: congenital heart disease, hypoplastic left heart syndrome, tetralogy of Fallot, total abnormal pulmonary venous connection, complete transposition of the great arteries, congenital corrected transposition of the great arteries