摘要
目的对先天性心脏病房间隔缺损分别行电视胸腔镜辅助下修补手术与常规开胸修补手术方法进行分析比较。方法右侧胸壁打孔电视胸腔镜辅助下(胸腔镜手术组)房间隔缺损修补37例,同期常规开胸、体外循环、心脏停跳房间隔缺损修补术(常规手术组)41例,分析比较其成功率、手术时间、体外循环时间、术后胸液量、术后住院时间、术后ICU监护时间、呼吸机辅助时间、切口大小及愈合情况等。结果两组均无死亡病例。胸腔镜手术组较常规组在手术时间、体外循环时间、术后呼吸机辅助时间,两组差异无统计学意义。而胸腔镜手术组切口长度明显减小,术后胸液引流量明显减少,术后住院时间明显缩短。结论胸腔镜手术患者在术后恢复要快于常规手术,切口较常规手术小。电视胸腔镜下房间隔缺损修补术是可行、安全的。
Objective To compare video-assisted thoracic surgical technique（VATS）and conventional surgical technique（CSM）in repairing atrial septal defect（ASD）by length of operation time,period of extracorporeal circulation time,days of hospital stay after operation and the incision length.Methods There were 37 patients in VATS group,and 41 patients in CSM group.In the VATS group,the atrial septal defects were repaired with video-assisted mini-incision technique and in CSM group with conventional sternotomy,extracorporeal circulation was set up and the atrial septal defects were repaired in the conventional way.Results There was no mortality in both groups.There were no significant differences between the two groups in the operative time,the bypass time and the postoperative mechanical ventilation time.As compared with the conventional surgery group,the VATS group had a significantly shorter chest incision length,less chest drainage and significantly shorter days of postoperative hospital stay.Conclusion Our experience demonstrates that ASD repaired under VATS is not only technically feasible,but also with excellent clinical results.
出处
《福建医药杂志》
CAS
2010年第3期1-2,共2页
Fujian Medical Journal
基金
福建省卫生厅医学创新课题(2001-cx-087)
关键词
房间隔缺损
胸腔镜辅助
先天性心脏病
心脏手术治疗
Atrial septal defect
Video-assisted thoracoscopic surgery
Congenital heart disease
Cardiac surgery
