摘要
目的观察右侧腋下小切口直视手术治疗先天性心脏病的手术效果。方法将70例先天性心脏病患儿，依照患儿家长的治疗意愿分组，观察组35例患儿采用右侧腋下小切口直视手术进行治疗，对照组35例患儿采用胸骨正中切口直视手术。比较两组患儿的术后24 h引流量、病死率、手术时间及术后并发症发生率。
结果观察组患儿术后24 h引流量、手术时间均低于对照组（P〈0.05）。两组患儿病死率和并发症方面差异未见统计学意义（P〉0.05）。结论右侧腋下小切口直视手术治疗小儿先天性心脏病效果较好，能有效减少患儿的术后并发症，且右侧腋下小切口较为隐蔽更为美观，更易被患儿家长接受。
Objective To observe the effect of direct visual operation of the right subaxillary incision on congenital heart disease. Methods According to the wishes of the parents of children, 70 children with congenital heart disease were divided, 35 cases in the observation group were treated with fight subaxillary small incision surgery treatment, and 35 cases in the control group were treated with median sternotomy incision surgery. The postoperative 24 h flow rate, mortality, operative time and postoperative complications were compared between the two groups. Results The 24 h flow rate and operation time in the observation group was lower than those of the control group （P 〈 0. 05 ）. There was no significant difference in the death rate or complications between the two groups （ P 〉 0.05 ）. Conclusions Right subaxillary small incision open surgery is effective on children with congenital heart disease, which can effectively reduce the risk of postoperative complications, and the fight axillary small incision is more hid- den and more beautiful, and more easily accepted by parents of children.
作者
兰占占
Lan Zhanzhan(Department of Cardiac Surgery, Zhengzhou Seventh People＇ s Hospital, Zhengzhou 450000, Chin)
出处
《中国实用医刊》
2018年第10期88-90,共3页
Chinese Journal of Practical Medicine
关键词
先天性心脏病
右侧腋下小切口
胸骨正中切口
术后并发症
Congenital heart disease
Right subaxillary incision
Median sternotomy incision
Postoperative complications
