胸腔镜辅助小切口动脉导管结扎术  

Ligation of Ductus Arteriosus Assisted by Minithoracoscope

作　　者：罗继文[1] 何树松[1] 任杰[1] 罗海燕[1] 冉林祥[1] 黄光友[1] 

机构地区：[1]四川绵阳市中心医院胸心外科,四川绵阳621000

出　　处：《华西医学》2009年第6期1370-1371,共2页West China Medical Journal

摘　　要：目的：报告电视胸腔镜辅助小切口（VATM）动脉导管（PDA）结扎手术的体会。方法：2004年元月至2008年12月,共施行VATM下PDA结扎术36例。手术采用传统右侧卧位,胸壁6 cm长左右小切口,胸腔镜插入与操作切口为同一个切口。分离结扎PDA不需特殊器械,用10号慕丝线4根交叉作垫结扎。术毕不安置胸腔引流管。结果：手术平均时间为（71.3±12.5）min,术中出血量〈20 mL,术后4～7日出院。术后随访心脏杂音消失,无残余分流体征,全部恢复健康。结论：VATM结扎PDA具有创伤小,术后患者疼痛轻,恢复快,显著减少镇痛药和其它用药剂量及用药时间,缩短住院日,降低医药费,胸壁不留大的瘢痕,有较好美容效果等优点。Objective： To summarize the experience of the operation of video-assisted minithoracotomy（VAMT）-assisted ligation of ductus arteriosus.Methods： A retrospective study was carried.Thirty-six cases underwent VAMT-assisted ligation of ductus arteriosus from Jan.2004 to Dec.2008.Tracheal intubation was performed with the patient right-arm-reclined,and later a 6 cm incision was performed on the chest wall for an entry of both the thoracoscope and surgery.Isolation and ligation of ductus arteriosus was free of other supplemental equipments and materials,except 4 10#-Mersilk crossed as a cushion.No post-operational intrathoracic draining was needed.Results： The operation averagely took（71.3±12.5）min with operational bleeding 〈20 mL.Patients were discharged 4-7 days after surgery.Follow-up discovered the elimination of cardiac murmur without manifestation of residual shunt and recovery was universal.Conclusion： VAMT-assisted ligation of ductus arteriosus features minor injury,less pain and quick recover of the patient,less consumption of pain killers and other medication or less dosage,the shorter admitted days and less expense.Scar on the chest wall is limited with less affection for the appearance,besides the above benefits.

关 键 词：胸腔镜辅助小切口 动脉导管未闭 

分 类 号：R654.2[医药卫生—外科学]