微创胸膜外小儿动脉导管未闭结扎术36例临床分析  

Clinical analysis of minimal-invasive ligation by extrapleural approach for patent ductus arteriosus in 36 children

作　　者：丁杭[1] 韩涛[1] 林承元[1] 姚祖武[1] 

机构地区：[1]福建省立医院心血管外科,350001

出　　处：《福建医药杂志》2008年第3期10-11,共2页Fujian Medical Journal

摘　　要：目的探讨微创胸膜外动脉导管未闭结扎术的临床应用。方法对2005年1月至2007年12月我院36例先心动脉导管未闭患儿，采取左腋下小切口，经胸膜外入路行动脉导管未闭结扎。结果本组36例患几手术后均痊愈出院，术后心脏连续性杂音消失，心脏彩色多普勒未见分流。2例术中胸膜破裂予以修补，6例术后胸部透视有左胸膜反应，随访2～3周后消失。结论左腋下小切口胸膜外动脉导管未闭结扎术是一种安全、有效、对患儿创伤很小的手术方式。Objective To discuss minimal-invasive ligation by extrapleural approach for patent ductus arteriosus （PDA） in children. Methods Thirty-six patients with PDA received ligation by extrapleural approach through the left axillary small in-cision. Results After operation, all the thirty-six patients＇ continuous murmur disapeared, and echo showed no shunt existence, The pleural rupture during operation in two patients were repaired. Six patients suffered from left pleural reaction that disapeared after two to three weeks. Conclusion PDA ligation by extrapleural approach through the left axillary is safe and valid With the least psychological and physiological influence to children.

关 键 词：微创 胸膜外 动脉导管未闭结扎术 

分 类 号：R726.5[医药卫生—儿科]