正中小切口在先天性心脏病手术中的应用  

Application of mini-sternotomy technique for congenital heart surgery

作　　者：侯迈[1] 杨军民[1] 仲京[1] 于鲁峰[1] 陈元恒[1] 徐金星[1] 李令珂[1] 张红超[1] 

机构地区：[1]空军总医院心胸外科,北京100036

出　　处：《空军总医院学报》2007年第2期75-76,共2页Journal of General Hospital of Air Force,PLA

摘　　要：目的评价正中小切口手术应用于先天性心脏病手术的效果。方法从胸骨角下方1 cm至剑突水平切开皮肤,长约5～10 cm。纵劈胸骨至第二肋间、向右侧横断胸骨。常规建立体外循环,行先天性心脏病直视手术26例。结果全组无手术并发症和手术死亡,无胸廓畸形发生。结论胸骨正中小切口可用于先天性心脏病手术的矫治,该术式创伤小、切口美观。Objective To report the experiences of minor median sternotomy for congenital open heart surgery.Methods 26 patients with congenital heart diseases were operated by median minor incision.The incision was made from the xiphoid process to the second intercostal level and it was only 6～9 cm long.Results All cases were cured and no sever complications and death occurred.The patients recovered quickly and were satisfied with their cosmetic incisions very much.Conclusion The minor median sternotomy for many congenital open heart surgery is safe.Cosmetic effects and less trauma could be achieved satisfactorily.

关 键 词：心脏缺损 先天性/外科学 心脏外科手术/方法 外科手术 小 

分 类 号：R61[医药卫生—外科学] R654.2[医药卫生—临床医学]