摘要
目的总结经右前胸肋间小切口在主动脉根部替换术(Bentall)中的效果。方法回顾性分析西安交通大学第一附属医院2020年9月—2021年9月采用右前胸肋间小切口行Bentall术患者的临床资料。结果共纳入14例患者,均为男性,年龄(55.1±9.3)岁,体重指数(24.7±2.8)kg/m^(2)。体外循环时间(185.6±32.9)min,主动脉阻断时间(144.8±30.3)min,呼吸机辅助时间(18.1±13.5)h,监护室停留时间(3.7±1.8)d,住院时间(13.4±1.6)d。5例患者出现术后并发症:3例胸腔积液、1例心包积液、1例术后出血二次开胸止血。中位随访时间4(2,6)个月,随访期间无死亡患者。学习曲线方面,术者完成4例手术后,主动脉阻断时间、体外循环时间及手术时间均较前明显缩短(P<0.05)。结论经右前胸肋间小切口路径行Bentall术安全、有效,具有临床推广价值。
Objective To summarize the effectiveness of Bentall procedure through the right anterior miniincision.Methods The clinical data of patients who underwent Bentall via right anterior mini-incision from September2020 to September 2021 in the First Affiliated Hospital of Xi'an Jiaotong University were retrospectively analyzed.Results A total of 14 males with an average age of 55.1±9.3 years and body mass index of 24.7±2.8 kg/m^(2) were enrolled.The cardiopulmonary bypass(CPB)time was 185.6±32.9 min,the aortic cross-clamping(ACC)time was 144.8±30.3 min,the ventilation time was 18.1±13.5 h,the time in the intensive care unit was 3.7±1.8 d,and the hospital stay time was13.4±1.6 d.Postoperative complications occurred in 5 patients:3 patients of pleural effusion,1 patient of pericardial effusion and 1 patient of postoperative bleeding with secondary thoracotomy hemostasis.The median follow-up time was4(2,6)months.There was no mortality in the hospital or during the follow-up.As for the learning curve,the ACC time,CPB time and operation time were significantly shortened after four cases(P0.05).Conclusion The right anterior miniincision for Bentall operation is safe and effective,and has clinical value.
作者
郭锋伟
姜益
郝军军
钟亮
李静
李勇新
闫炀
GUO Fengwei;JIANG Yi;HAO Junjun;ZHONG Liang;LI Jing;LI Yongxin;YAN Yang(Department of Cardiovascular Surgery,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an,710061,P.R.China)
出处
《中国胸心血管外科临床杂志》
CSCD
北大核心
2023年第9期1295-1300,共6页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
