摘要
目的 通过与体外循环下正中剖胸切口矫治先天性心脏病的比较 ,做出对经右外侧小切口矫治先天性心脏畸形手术的评价。 方法 对经右外侧切口 10 2例和正中切口 116例矫治先天性心脏畸形手术的结果及主要并发症进行比较。 结果 两组患者的体外循环时间、心肌阻断时间、术后机械通气时间均无明显差异 ;经右外侧切口组患者无死亡 ,正中切口组患者死亡率为 0 .9%;术后平均胸液量经右外侧切口组为 (135 .8± 97.8)ml,正中切口组为 (380 .7± 88.97)ml (P <0 .0 1)。 结论 经右外侧小切口矫治先天性心脏畸形安全、有效 ,与正中切口手术相比具有创伤小、出血少、瘢痕隐蔽、不破坏胸廓的骨性连续性 ,防止手术发生鸡胸 ,美观效果好于胸部正中切口等优点。
Objective To evaluate the correction of cardiac defects through a right minithoracotomy compared with the midline sternotomy.Methods Results of operation and main postoperative complications of 102 patients who underwent correction of congenital heart malformations through the right minithoracotomy under cardiopulmonary bypass were compared with 116 patients through the midline sternotomy. Results No significant difference was found in the mean time of cardiopulmonary bypass,aortic crossclamping and average mechanical ventilation time between both. There is no operative mortality in patients with right lateral thoracotomy and the mortality with midline sternotomy was 0.9%. The mean postoperative bleeding volume of patients with the right lateral thoracotomy was (135.8±97.8)ml and with the midline sternotomy was (380.7±88.97)ml(P<0.01). Conclusion The right lateral thoracotomy is a safe and effective alternative to a median sternotomy for correction of cardiac defects. Advantages of this approach include less injury, less bleeding, maintaining the continuity and the integrity of the bony thorax, and preventing postoperative pigeon breast. The cosmetic result is superior to that of median sternotomy.
出处
《山西医科大学学报》
CAS
2003年第5期436-437,共2页
Journal of Shanxi Medical University
