摘要
目的对比右胸微创小切口与传统胸部正中切口行左心房粘液瘤切除术治疗左心房粘液瘤的安全性及临床疗效。方法回顾性分析2011年7月至2015年3月吉林大学第二医院心血管外科施行右胸微创小切口左心房粘液瘤切除术32例患者[微创小切口组,男9例,女23例,年龄(59.1±9.5)岁]的临床资料,与同期收治的17例行传统胸部正中切口的左心房粘液瘤患者(对照组,男7例,女10例,年龄(60.0±9.0)岁]对比,比较两组患者临床效果。结果两组患者术前临床资料差异均无统计学意义,所有患者均顺利完成手术。微创小切口组患者主动脉阻断时间较对照组长,而术后机械通气时间(9.5±4.9)h、ICU停留时间(18.6±6.2)h、术后24 h胸腔引流量(103.8±19.4)ml、二次开胸止血率(0.0)、术后输血量(1.4±1.1)U、下地活动时间(38.5±6.9)h、住院时间(8.1±0.9)d、术后并发症发生率(0.0)均少于或短于对照组(P<0.05)。结论采用右胸微创小切口行左心房粘液瘤切除术安全可行,且疗效确切,值得推广。
Objective To explore the safety and clinical efficacy of right chest minithoracotomy for left atrial myxoma resection. Methods We retrospectively analyzed clinical data of 32 patients with left atrial myxoma resection by right chest minithoracotomy（a small incision group,9 males,23 females at age of 59.1±9.5 years） in our hospital from July 2011 through March 2015. Meanwhile,we selected 17 patients with left atrial myxoma treated by conventional chest median sternotomy as a control group（7 males,10 females at age of 60.0±9.0 years）. Clinical results of the two groups were compared. Results There was no statistical difference in preoperative clinical data of the patients between the two groups. All the patients were successfully operated. Patients in the small incision group had longer aortic clamping time than that in the control group. But there were shorter postoperative mechanical ventilation time（9.5±4.9 h）,shorter ICU stay time（18.6 ± 6.2 h）,less amount of thoracic cavity drainage 24 h after drainage（103.8±19.4 ml）,lower bleeding reoperation rate（0.0）,less blood transfusion after surgery（1.4±1.1U）,shorter ambulation time（38.5±6.9 h）,shorter hospital stay（8.1 ± 0.9 d）,lower postoperative complication rate（0.0） than those of the control group（P〈0.05）. Conclusion Right chest minithoracotomy left atrial myxoma resection is feasible,safe and effective,is worth promoting.
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2016年第6期554-557,共4页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
基金
"十二.五"国家科技支撑计划项目(2011BAI11B18)~~
关键词
右胸微创手术
正中切口手术
左心房粘液瘤
临床疗效
Right chest minithoracotomy
Median incision surgery
Left atrial myxomas
Clinical effects
