胸腔镜房间隔缺损修补术初步经验  

The Experience of Closure of Atrial Septal Defect under Thoracosopy

作　　者：王跃军[1] 程云阁[2] 邓海青[1] 凌毅[1] 钟齐庆[1] 

机构地区：[1]广西壮族自治区钦州市第二人民医院胸心外科,广西钦州535000 [2]上海交通大学第三附属医院胸心外科,上海201900

出　　处：《中国临床医学》2006年第5期743-744,共2页Chinese Journal of Clinical Medicine

基　　金：广西自然科学基金项目(项目编号:桂科自0542117)

摘　　要：目的:总结胸腔镜房间隔缺损修补术的经验。方法:采用右侧胸壁打孔、电视胸腔镜下行房间隔缺损修补手术34例,其中男性16例,女性18例,年龄3-46岁,体重12-62 kg。房间隔缺损直接缝合24例,涤纶补片修补10例,同时行三尖瓣成形3例。结果:术后右侧气胸2例,手术时间1．8-3．6 h,平均2．6 h;体外循环时间36-92 min,平均是77 min;升主动脉阻闭时间8-52 min,平均28 min。术后患者恢复顺利,治疗效果满意。结论:胸腔镜下房间隔缺损修补术安全可行。Objective：To summarize the experience of closure of atrial septal defect under thoracosopy. Methods： 34 patients （16 male and 18 female） had underwent operation for the closure of atrial septal defect. The operations were performed through three ports under thoracoscopy. 24 patients underwent direct suture closure, 10 patients underwent Dacron patch, 3 patients underwent tricuspid armuloplasty for tricuspid regurgitation. Results： All patient survived after surgery. The durations of cros-clamped and extracorporeal circulation respectiy were 8-52minutes（mean 28 minutes） and 36-92 minutes（mean 77 minutes）, respectively. Postoperative course was an uneventful. Conclusion： Our experience demonstrates that thoracoscopic cardiac surgery is technically feasible and safe.

关 键 词：电视胸腔镜 房间隔缺损 微创心脏外科 

分 类 号：R654.2[医药卫生—外科学]