摘要
目的 腋下小切口开胸 (AMT)行心脏瓣膜手术文献报道甚少 ,现将AMT与常规胸骨正中劈开 (MS)两种径路下行心脏瓣膜手术的临床结果进行比较。方法与结果 AMT组 49例 ,MS组 3 8例 ;AMT组切口小且隐蔽 ,术后胸管引流量显著少于MS组。AMT组平均住院日也少于MS组。
Objective To compare the efficacy of heart valve replacement(HVR) with axillary mini-thoractomy (AMT) and HVR with routine medial sternoctomy(MS). Methods The patients wre randomly divided into two groups. In group I 38 cases received HVR with routine MS, and in group II 49 cases received HVR with AMT. Results ⑴The surgical incision was invisible and cosmetic in group I and the volume of post-operative thoracic tube drainage was significantly less than that in group II; ⑵In group I the mean hospitalized days of the patients also was less than those in group II; ⑶There was no significant difference in cardiopumonary bypass time and aortic clamp time between the two groups. Conclusion Axillary mini-thoractomy could be used in most patients of heart valve replacement and has the advantage of the cosmetic and minimal injury.
出处
《中国医师杂志》
CAS
2004年第8期1066-1067,共2页
Journal of Chinese Physician
