摘要
目的探讨胸壁小切口手术治疗心脏疾病的临床价值.方法回顾性分析2001年9月～2004年10月我院行胸壁小切口手术治疗心脏疾患115例临床资料.结果108例经右胸小切口完成,智能机械臂辅助完成手术5例,经右胸小切口封堵房间隔缺损手术2例.体外循环时间21～155 min,平均(145±26)min,主动脉阻断时间8～108 min,平均(28±19)min.无一例死亡,术后二次开胸止血1例(0.9%,1/115),术后肺不张3例(2.6%,3/115),脑梗死2例(1.7%,2/115).82例随访6～24个月,平均18个月,效果满意,无胸廓畸形.结论右胸小切口是矫治心脏畸形较佳的手术途径,创伤小,出血少,关胸快.
Objective To investigate the clinical significance of small incision thoracotomy cardiac surgery in the management of heart diseases. Methods A retrospective analysis was made on clinical data of 115 cases of heart diseases treated with small incision thoracotomy surgery from September 2001 to October 2004 in this hospital. Results There were 108 cases of operation through a right small thoracic incision, 5 cases of robot - assisted operations, and 2 cases of occlusion of atrial septal defect （ASD） through a right small thoracic incision. The extracorporeal circulation time was 21 - 155 min （mean, 145 ± 26 min） and the aorta occlusion time was 8 -108 min （ mean, 28 ± 19 min）. No operation - related death was seen. Postoperatively, a re - operation of open surgery was required for stopping bleeding in 1 case （0.9% , 1/115 ） , pulmonary atelectasis occurred in 3 cases （2.6% , 3/115 ）, and cerebral infarction happened in 2 cases （ 1.7% , 2/115 ）. Follow - up checkups in 82 cases for 6 - 24 months （ mean, 18 months） revealed no thoracic deformity. Conclusions With advantages of minimal injury, less bleeding, and quick closure of thoracic incision, right small incision thoracotomy is a good approach for the correction of cardiac deformities.
出处
《中国微创外科杂志》
CSCD
2005年第12期984-985,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
胸壁小切口
心外科
Small incision thoracotomy
Cardiac surgery
