摘要
目的 探讨电视胸腔镜下动脉导管未闭手术治疗的方法与效果。 方法 将 5 0例动脉导管未闭患者分为电视胸腔镜组和常规手术组。电视胸腔镜组 :2 5例 ,采用 2～ 3个钛夹钳闭 ;常规手术组 :2 5例 ,采用开胸结扎法处理未闭的动脉导管。 结果 电视胸腔镜组术后均无残余分流 ,亦无喉返神经损伤等并发症 ,平均左心室内径和肺动脉内径较术前分别缩小 1.0 5 cm和 0 .81cm(P<0 .0 1) ;与常规手术组比较 ,明显地减轻了手术创伤 ,减少抗菌素用量及缩短住院天数。 结论 采用电视胸腔镜动脉导管钳闭法较适合我国国情 ,操作简便 ,容易掌握和推广。
Objective\ To investigate the surgical technique and clinical results of interruption of patent ductus arteriosus (PDA) with video assisted thoracic operation (VATO).\ Methods\ Fifty PDA cases were divided into two groups, 25 cases treated with VATO(VATO group) as compared to other 25 cases with conventional surgical interruption(conventional surgical interruption group). In the VATO group, the PDA was interrupted by 2 3 hemoclips under VATO technique, and PDA interrupted by suture ligation with the technique of conventional thoracotomy in the conventional surgical interruption group.\ Results\ The results revealed that there was not any residual flow in the PDA site or the injury of recurrent laryngeal nerve, or other major complications in the VATO group. The diameters of left ventricle and pulmonary artery decreased 1.05 cm and 0.81 cm respectively(P<0.01). Compared to the conventional method, the VATO technique remarkably alleviated the pain(P<0.05), reduced the dosage of antibiotics(P<0.01), avoided fever(P<0.01), shortened the hospital stay (P<0.05), and achieved a satisfied cosmetic effect(P<0.01), postoperatively. However, one patient in the conventional surgical interruption group had echo traced residual shunt. There was no operative death nor late death in both groups.\ Conclusion\ The PDA interruption with VATO technique we developed has the advantages of much less complications, being easier to learn and to practice and is worthy of further clinical application on the basis of our clinical experience.
出处
《中国胸心血管外科临床杂志》
2000年第3期160-161,共2页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
电视胸腔镜手术
先天性心脏病
动脉导管未闭
Video assisted thoracic operation Congenital heart disease Patent ductus arteriosus
