婴幼儿动脉导管未闭的微创外科治疗研究  

Minimally Invasive Surgical Treatment of Patent Ductus Arteriosus in Infant

作　　者：褚银平[1] 刘爱军[1] 孙彦龙[1] 

机构地区：[1]山西医科大学第二医院

出　　处：《中西医结合心脑血管病杂志》2005年第5期391-392,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的　总结左腋下直小切口对婴幼儿动脉导管未闭(PDA)患儿微创伤治疗的经验。方法　采用左腋下腋中线直小切口第4肋间进胸方法,对72例婴幼儿PDA患儿施行动脉导管结扎术。结果　所有病例术野显露清楚,术毕不放置胸腔闭式引流,无手术死亡病例,无喉返神经损伤、导管破裂等并发症,住院时间短(平均住院4 .2d)。随访2个月至8年,无导管再通和动脉瘤形成。结论　左腋下直小切口动脉导管结扎术,更适用于婴幼儿PDA患儿,手术安全可靠,并发症少,远期效果满意。Objective To summarize the experiences of minimally invasive surgical treatment of patent ductus arteriosus(PDA)in infant with a small incision.Methods 72 infants suffered from PDA were undergone the ligation with a vertical left mini-thoracotomy.Results Operating visual field was very clear, and the thoracic draining pipe was not placed during postoperative time.There was no operative mortality,no recurrent laryngeal nerve damage,and ductus arteriosus rupture.The average hospital day was 4.2.No aneurgsm ocuried during 2 months to 8 years follow up.Follow up 2 months to 8 years,there was no formation of aneurysm.Conclusion This technique is safe and reliable.with fewer complication and long-term effect.It is especially suitable for infants.

关 键 词：动脉导管未闭 结扎 微创伤 

分 类 号：R726.5[医药卫生—儿科]