胸骨下段小切口及胸骨正中切口治疗儿童先天性心脏病的对比研究

来源 :安徽医科大学学报 | 被引量 : 0次 | 上传用户:JK0803_lijixiang
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回顾性分析采用胸骨下段小切口及胸骨正中切口治疗儿童简单先天性心脏病198例的临床资料,并分为胸骨下段小切口组(小切口组)和胸骨正中切口组(正中切口组),病种包括室间隔缺损(VSD)与房间隔缺损(ASD)。两组患者的年龄、性别、体重、左室射血分数和心胸比率差异均无统计学意义,均无死亡病例。ASD修补术中小切口组的手术时间、术后呼吸机辅助呼吸时间、术后24 h引流量及切口长度均小于正中切口组,差异有统计学意义(P<0.05),体外循环时间及术后住院天数的差异无统计学意义;VSD修补术中小切口组的手术时间、术后24 h引流量、切口长度均小于正中切口组,差异有统计学意义(P<0.05),而体外循环时间、术后呼吸机辅助呼吸时间及术后住院时间与正中切口组的差异无统计学意义。两组随访2个月~3年,患者心功能均为Ⅰ级。小切口组无胸骨畸形,正中切口组6例出现鸡胸。胸骨下段小切口行儿童简单先天性心脏病修补手术安全可行,较传统切口更美观、微创。 We retrospectively analyzed the clinical data of 198 cases with simple congenital heart disease in children underwent a small incision in the lower part of the sternum and a median incision in the sternum and were divided into two groups: small incision group (small incision group) and median incision group (middle incision group) Species include ventricular septal defect (VSD) and atrial septal defect (ASD). There was no significant difference in age, sex, weight, left ventricular ejection fraction and cardiothoracic ratio between the two groups, with no deaths. The operation time, ventilator-assisted respiration time, drainage volume and incision length at 24 h after ASD repair were smaller than those in the middle incision group (P <0.05). The duration of cardiopulmonary bypass and postoperative There was no significant difference in the days of hospitalization between the two groups. The operation time, the amount of drainage and the incision length at 24 h after VSD repair were smaller than those in the median incision group, the difference was statistically significant (P <0.05) Postoperative ventilator assisted breathing time and postoperative hospital stay with the median incision group no significant difference. Two groups were followed up for 2 months to 3 years, and their cardiac function was grade Ⅰ. Small incision group without sternal deformity, median incision group 6 cases appeared chicken breast. Small incision in the lower part of the line Simple congenital heart disease repair surgery safe and feasible, more beautiful than the traditional incision, minimally invasive.
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