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肺动脉闭锁伴室间隔缺损的手术治疗研究进展

Research progress in surgical treatment of pulmonary atresia with ventricular septal defect

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【作者】 范悦莫春镕杨柳山曹辉庆蒙裕国罗磊

【Author】 FAN Yue;MO Chun-rong;YANG Liu-shan;Thoracic & Cardiovascular Surgery, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine;

【通讯作者】 莫春镕;

【机构】 广西中医药大学附属瑞康医院胸心血管外科

【摘要】 肺动脉闭锁伴室间隔缺损(PA/VSD)是临床常见的一种先天复杂性右心畸形心脏病。由于个体肺血管发育存在差异性,对体肺侧支生理功能、解剖分型等尚未完全认知,导致手术方法多,难度大,疗效不尽如人意。因此PA/VSD的手术治疗一直是临床外科医师有待解决的棘手问题。本文对PA/VSD解剖分型、诊断、手术治疗策略等相关问题进行综述,以期为今后PA/VSD手术治疗提供参考。

【Abstract】 Pulmonary atresia with ventricular septal defect(PA/VSD) is a common complex congenital heart malformation of right heart.The variability in individual pulmonary vascular development and the incomplete knowledge of the physiological function and anatomical typing of the lateral branches of the aortopulmonary collateral vessels have led to a variety of difficult surgical approaches with unsatisfactory outcomes.The surgical treatment of PA/VSD has therefore been a tough problem for clinical surgeons to solve. This article reviews the issues related to the anatomical staging, diagnosis and surgical treatment strategies of PA/VSD, with a view to providing a reference for the future surgical treatment of PA/VSD.

  • 【文献出处】 中国处方药 ,Journal of China Prescription Drug , 编辑部邮箱 ,2023年05期
  • 【分类号】R654.2
  • 【下载频次】14
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