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总结小儿室间隔缺损(VSD)伴主动脉瓣关闭不全(AI)的外科治疗效果及其影响因素。随访82例VSD伴AI病儿的诊治和预后情况,并对多种影响因素进行t检验及多元线性回归分析。结果显示,小儿VSD合并AI发生率约为7.07%,其中干下型VSD伴AI占总数的19.58%;膜周型为4.18%。本组82例中64例单纯行VSD修补术,18例行VSD修补加主动脉瓣成形术。术后随访5个月~12年,无并发症,无近远期死亡,残余反流无1例较术前加重。结论:AI的程度、VSD类型及术前心胸比率等对选择手术方法有指导意义,且对主动脉瓣成形术的疗效有着重要影响
To summarize the surgical treatment of pediatric ventricular septal defect (VSD) with aortic regurgitation (AI) and its influential factors. Follow-up of 82 cases of VSD with AI disease diagnosis and treatment of children and prognosis, and a variety of influencing factors t-test and multiple linear regression analysis. The results showed that the incidence of AI in children with VSD was about 7.07%, in which dry-type VSD with AI accounted for 19.58% of the total; peritoneal membrane was 4.18%. The group of 82 cases of 64 cases of pure VSD repair, 18 cases of VSD repair plus aortic valve angioplasty. All the patients were followed up for 5 months to 12 years. No complications were found and no immediate or long-term mortality was found. One case of residual reflux was worse than the other two cases. Conclusion: The degree of AI, the type of VSD and the rate of preoperative cardiothoracic and so on are instructive for the choice of surgical procedure and have an important effect on the curative effect of aortic valve prosthesis