全腔静脉肺动脉连接术在复杂发绀型先心病的应用及术式选择(3)
综上所述，究竟采用哪一种术式进行全腔-肺连接，除应考虑术式本身的优缺点外，还应结合患者年龄、体重、心房位置、下腔静脉、肝静脉畸形引流情况，有无房室瓣反流及其他心内畸形需要矫治等及术中情况全面考虑决定，以便获得最佳的治疗效果。
[参考文献]
[1]De leval Mr,Kilner P,Gewilling M,et al. Total cavopulmonary connection a logical alternation to atriopulmonary connections for complex Fontan operations[J].J Thorac Cardiovase Surg,1988,96:682-695.
[2]顾以茼,谢周良,杨志远,等.全腔-肺连接术在治疗复杂紫绀型先天性心脏病的应用[J].实用诊断与治疗杂志,2003,17:159-161.
[3]张仁福,宫汉东,朱洪玉,等.心外管道全腔静脉肺动脉连接术[J].中华胸心血管外科杂志,2001, 17:210-211.
[4]Marcelletti C,Corno A,Giannico S,et al.Inferona cava-pulmonaiy artery extracardiac condluit[J].J Thorac Cardiovasc Surg,1990,100:228.
[5]Burke RP,Jacols JP,Ahraf MH,et al.Extra-cardiac Fontan's operation without cardiopulmonary bypass[J].Ann Thorac Surg,1997,63:1175-
1177.
[6]梅举,张宝仁,杨小龙,等.非体外循环下改良全腔静脉-肺动脉连接术[J].中华胸心血管外科杂志,2002,18:325-326.
[7]许建屏,罗新锦,吴清玉,等.非体外循环下全腔静脉肺动脉连接术的临床应用[J].中华胸心血管外科杂志,2004,20:84-86.
[8]Norwood WI,Jacobs ML.Fontan's procedure in two stages[J].Am J Surg,1993,166:548-551.
(收稿日期：2008-03-17), 百拇医药(葛振伟 杨志远 谢周良 王佳祥 程兆云 顾以茼)
[参考文献]
[1]De leval Mr,Kilner P,Gewilling M,et al. Total cavopulmonary connection a logical alternation to atriopulmonary connections for complex Fontan operations[J].J Thorac Cardiovase Surg,1988,96:682-695.
[2]顾以茼,谢周良,杨志远,等.全腔-肺连接术在治疗复杂紫绀型先天性心脏病的应用[J].实用诊断与治疗杂志,2003,17:159-161.
[3]张仁福,宫汉东,朱洪玉,等.心外管道全腔静脉肺动脉连接术[J].中华胸心血管外科杂志,2001, 17:210-211.
[4]Marcelletti C,Corno A,Giannico S,et al.Inferona cava-pulmonaiy artery extracardiac condluit[J].J Thorac Cardiovasc Surg,1990,100:228.
[5]Burke RP,Jacols JP,Ahraf MH,et al.Extra-cardiac Fontan's operation without cardiopulmonary bypass[J].Ann Thorac Surg,1997,63:1175-
1177.
[6]梅举,张宝仁,杨小龙,等.非体外循环下改良全腔静脉-肺动脉连接术[J].中华胸心血管外科杂志,2002,18:325-326.
[7]许建屏,罗新锦,吴清玉,等.非体外循环下全腔静脉肺动脉连接术的临床应用[J].中华胸心血管外科杂志,2004,20:84-86.
[8]Norwood WI,Jacobs ML.Fontan's procedure in two stages[J].Am J Surg,1993,166:548-551.
(收稿日期：2008-03-17), 百拇医药(葛振伟 杨志远 谢周良 王佳祥 程兆云 顾以茼)