全电视胸腔镜下治疗先天性心脏病的临床随机对照研究  

Clinical comparative research of treatment of congenital heart diseases under video-assisted endoscope

作　　者：杜正隆[1] 凌毅[1] 钟齐庆[1] 白韬[2] 

机构地区：[1]广西省钦州市第二人民医院,广西钦州535000 [2]广西省桂林南溪山医院,广西桂林541000

出　　处：《中国内镜杂志》2008年第7期679-681,共3页China Journal of Endoscopy

基　　金：广西自然科学基金项目(项目编号:桂科自0542117)

摘　　要：目的随机比较胸腔镜下手术与传统开胸手术治疗先天性心脏病的临床疗效。方法随机将患者分为两组。腔镜组101例,采取股动静脉插管,建立体外循环,右胸胸壁打3个小孔后施行完全胸腔镜下手术;传统组104例,采用常规建立体外循环,平仰卧位,胸骨正中切口,纵劈胸骨手术。比较两组的静止呼吸顺应性(Cs)和动态肺顺应性(Cd)以及两组的体外循环时间、升主动脉阻闭时间、手术时间、术后呼吸机辅助呼吸时间、胸腔引流量及术后住院时间。结果体外循环时间、升主动脉阻闭时间、手术时间、术后呼吸机辅助呼吸时间两组差异无显著性。但胸腔引流量、术后住院时间、Cs和Cd两组差异有显著性。结论全胸腔镜下治疗先天性心脏病创伤小,住院时间短,美容,具有很好的临床应用价值。[Objective] To compare clinical effects of thoracoscopic surgery and traditional chest surgery on congenital heart diseases. [Method] The patients were randomly divided into 2 groups. 101 patients in thoraco-scopy group had cardiopulmonary bypass through intubation of femal vein, complete thoracoscopic surgery was carried out through 3 small holes on the right chest wall. 104 patients in traditional group had cardiopulmonary bypass through conventional way, lay flat on their back and were operated on from t...

关 键 词：胸腔镜 房间隔缺损 室间隔缺损 

分 类 号：R541.1[医药卫生—心血管疾病]