摘要
目的 探讨电视胸腔镜下 (VATS)动脉导管 (PDA)钳闭术改良切口临床应用的优越性。 方法 采用改良切口 (为左腋下第 3肋间腋后线 2 0cm～ 2 5cm及腋前线第 3肋间约 0 4cm～ 1 0cm双切口 )对 6 0例PDA在电视胸腔镜下行动脉导管钳闭术。在术野显露手术时间 ,并发症、手术效果、术后疼痛、美观等多方面进行总结。 结果 6 0例均获成功 ,手术时间 (10 2 7± 8 9)min ,实际胸内操作时间(2 0 4± 9 6 3)min。术后第 2天即可下床活动 ,仅 11例例术后当日需镇痛。术后杂音消失 ,无并发症 ,复查心脏彩超无残余分流 ,随访未见导管再通。 结论 改良切口下胸腔镜动脉导管钳闭术具有微创、安全、疗效确切、操作简单。
Objective To study the clinical advantages of modified incision for PDA interruption under video-assisted thoracoscopy. Methods Sixty patients suffering PDA were operated on by the modified incision technique through the left subaxillary 3rd interspace 2.0cm-2.5cm mini-incision as manipulation incision and the front axillary line of the same interspace 0.4cm-1.0cm thoracoscope incision the operative difficulty required surgical time surgical field exposure,complications,postoperative pain and,cosmetic and surgical results were compared with those of the conventional PDA operation. Results The operation on the 60 cases were all successful.Actual intra-thoracic operation duration was (20.39±9.63)min.Due to the minor surgical trauma,the patients were able to ambulate two days after the surgery.Only eleven patients needed analgesia after the operation.Heart murmur completely disappeared postoperatively.No complications occurred.Postoperative echocardiogram showed no residual or recurrent shunt ,even in three years follow-up. Conclusions The modified incision for PDA interruption with the video-assisted thoracoscopy causes minim surgical trauma and is a safe and simplified surgical technique.
出处
《中国微创外科杂志》
CSCD
2002年第5期299-300,共2页
Chinese Journal of Minimally Invasive Surgery
