摘要
目的 :探讨微创小切口心内直视手术治疗的经验。方法 :对 1997- 10～ 2 0 0 2 - 0 6进行的 35 8例微创小切口心内直视手术进行回顾性分析。其中继发孔房间隔缺损 (ASD) 14 7例 ,合并三尖瓣关闭不全 (TI) 31例 ,合并动脉导管未闭 (PDA) 13例 ,合并室间隔缺损 (VSD) 32例 ,合并部分肺静脉异位引流 (PAPVD) 4例 ;VSD 16 6例 ,合并右室双腔心 (DCRV) 7例 ,PDA 8例 ;肺动脉瓣狭窄 (PS) 3例 ;法乐氏三联症 4例 ;法乐氏四联症 (TOF) 2例 ;二尖瓣狭窄伴关闭不全 (MVD) 2 9例 ;左房粘液瘤 (LAM) 7例。结果 :死亡 2例 ,死亡率 0 .6 % (2 /35 8) ,均与手术方式无关。结论 :微创小切口心内直视手术创伤小、美观、痛苦少、恢复快、安全有效 ,但应严格掌握手术适应证及合理选择手术切口。
Objective: To probe the experience of minimally invasive incision for open-heart surgery. Methods:From Oct.1997 to Jun.2002,358 cases being operated through minimal approach were analyzed retrospectively. Including 147 cases of atrial septal defect (ASD), 166 cases of ventricular septal defect (VSD), 3 cases of pulmonary arterial stenosis(PS), 4 cases of trilogy of fallot, 2 cases of tetralogy of fallot(TOF), 29 cases of stenosis and insufficiency of mitral valve and 7 cases of left atrial myxomas(LAM). Results: There were two post-operative death and the death rate was 0.6%(2/358),in which one patient died of cerebral bleeding and one of pulmonary hypertension.[WT5HZ]Conclusion: Minimally invasive incision is a safe, effective technique with less pain and may shorten the hospital stay.
出处
《西北国防医学杂志》
CAS
2003年第6期425-427,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
心脏外科手术
微创小切口
研究
Heart surgery
Minimally invasive incision
Study
