摘要
目的研究胸心外科手术中运用胸部小切口的临床价值。方法山东省莱芜市人民医院选择2010年4月—2012年4月间24例进行胸心外科手术的患者,将其分为两组,每组均为12例患者。观察组患者运用胸部小切口进行手术,对照组患者运用常规开胸手术。结果本研究所选的24例患者的手术均顺利完成,观察组患者的手术时间为(122.5±20.5)min,体外循环时间为(29.3±5.8)min,术中出血量为(30.4±10.7)ml,伤口愈合时间为(45.5±15.3)h,术后住院时间为(9.6±4.2)d,这12例均未见严重并发症。对照组患者的手术时间为(145.3±23.5)min,体外循环时间为(31.2±4.9)min,术中出血量为(41.4±11.7)ml,伤口愈合时间为(58.2±15.6)h,术后住院时间为(12.8±4.4)d,术后有两例患者出现并发症。结论运用胸部小切口进行胸心外科手术的患者手术时间相对较短,伤口愈合更快,患者出血量减少,住院时间缩短,有利于身体恢复。
Objective To study the clinical value of small chest incision surgery on cardiothoracic surgery,. Methods From April 2010 to April 2012 eardiothoraeic surgery patients, divided into two groups, each group of 12 patients. The ob- servation group were the underwent small chest incision surgery, patients of the control group used conventional thoraeotomy. Results This paper selected 24 surgical patients were successfully completed,the operation time of the observation group were （ 122. 5 ±20. 5） min,cardiopulmonary bypass time （29.3 ±5.8） rain,blood loss （30.4 ± 10. 7） ml,wound healing time （45.5 ± 15.3 ） h, postoperative hospital stay （9.6 ± 4. 2 ） d, 12 cases were no serious complications. The time of surgery patients in the control group （ 145.3 -± 23.5 ） loss （41.4 ± 11.7） ml,wound healing time （58.2 ± 15.6） min, cardiopulmonary bypass time （ 31.2 ± 4. 9 ） min, blood h after surgery the length of stay （12. 8 ±4. 4） d,two patients with complications after surgery. Conclusions The use of a small chest incision cardiothoracic surgery patients surgery time is relatively short, faster wound healing, reduce the amount of bleeding in patients with shorter hospital stays, better for the recovery of the body.
出处
《医药论坛杂志》
2013年第4期49-50,54,共3页
Journal of Medical Forum
关键词
胸部小切口
胸心外科手术
常规开胸手术
临床观察
Small chest incision
Cardiothoracic surgery
Conventional thoracotomy
Clinical observation
