摘要
目的对比微创右腋下斜切口与胸骨正中切口治疗室间隔缺损的手术效果,探讨右腋下斜切口的优势。方法对45例室间隔缺损患儿,分成两组,右腋下斜切口组(微创组)26例,胸骨正中切口组(对照组)19例,均在体外循环下行间隔室损缺修补手术。结果所有患儿无围术期死亡,微创组在创伤、切口长度、术中失血量、关胸时间等指标上具有明显优势(P<0.05),在开胸至建立体外循环时间上稍有不足;在总手术时间、机械通气时间、住院时间等指标上差异无统计学意义(P>0.05)。结论与常规胸骨正中切口相比,微创右腋下斜切口治疗简单先心病具有安全、美观、出血量少、创伤小等优势。
Objective To compare the clinical results of VSD repair through inclined incision in the right armpit and median sternotomy approach.Methods 45 patients performed by CPB with two different approaches： 26 patients underwent inclined incision in right armpit（minimal invasive approach group,MIA group） and 19 patiens underwent median sternotomy（control group）.Results Operations were successful and all patients recovered well.Comparing to control group,the MIA group had advantages including minithoracotomy,less hemorrhage and the time of closing thoracic incision（P0.05）.There were no differences in operation time,cardiopulmonary bypass time,mechanical ventilation time and length of stay after operation（P0.05）.Conclusion VSD repair through inclined incision in the right armpit has superiority of safety,cosmetolgy and less hemorrhage.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第15期1476-1477,1480,共3页
Chongqing medicine
关键词
外科手术
微创性
右胸斜切口
体外循环
sugical procedures
minimally invasive
inclined incision in the right armpit
cardiopulmonary bypass
