摘要
目的:探讨右侧腋下切口治疗小儿先心病的临床疗效。方法:先心病患儿260例右腋下小切口行先心病心内直视手术,与同期常规胸正中切口行心内直视手术的115例患儿对比疗效。结果:两组均成功手术,CPB、主动脉阻断时间比较无明显差别(P>0.05),但右腋下小切口组术后呼吸机辅助呼吸时间,胸腔引流血量、输血量及术后住院天数均较经胸正中切口组显著减少(P<0.01)。结论:经右腋下微创小切口入路治疗小儿先心病安全可靠。
Objective:To explore the clinical effect of 260 cases of children with congenital heart disease treated with right subaxillary incision.Methods:260 cases of congenital heart disease in children underwent open heart operation with right subaxillary incision.115 cases of congenital heart disease in children underwent open heart operation with conventional median sternotomy.The treatment effect of the two groups were compared.Results:2 groups of patients were successful operation.CPB and aortic cross clamping time were no significant difference(P>0.05).Ventilator assisted breathing time,amount of blood transfusion and Pleural drainage volume and postoperative hospital stay of right subaxillary incision were significantly reduced compared with conventional median sternotomy(P<0.01).Conclusion:Children with congenital heart disease treated with right subaxillary incision was safe and reliable,and it is worthy of clinical application.
关键词
右侧腋下切口
先天性心脏病
心脏直视手术
Right subaxillary incision
Congenital heart disease
Open heart operation
