室缺全腔镜修补术与开胸手术的疗效比较  

The Comparison between Totally Endoscopic Ventricular Septal Defect Repair and Sternotomy

作　　者：顾剑民[1] 程云阁[2] 郑家豪[1] 

机构地区：[1]上海交通大学医学院附属仁济医院胸外科,上海200001 [2]上海交通大学医学院附属第三人民医院胸外科,上海201900

出　　处：《中国临床医学》2010年第3期370-372,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:对全腔镜下进行室间隔缺损修补术的手术方式进行总结,探讨其安全性和疗效。方法:回顾分析2007年1月—2008年6月20例全腔镜室间隔缺损修补术的临床资料。各例均通过胸壁3孔使用胸腔镜及特殊器械完成室缺修补术,并与同期行传统正中开胸室缺修补术患者资料进行比较。结果:腔镜组20例患者均顺利完成室缺修补术,无中转开胸,无住院死亡,无严重并发症,无残余漏发生。与开胸手术患者相比较,腔镜手术具有失血少、住院时间短、疼痛轻、创伤小及切口美观的优势。结论:只要严格掌握适应证,全腔镜室缺修补术是安全的,疗效确切。但此手术方式需进一步完善,不能完全代替传统手术。Objective：To investigate the feasibility and effectiveness of the totally endoscopic ventricular septal defect（VSD） repair.Methods： Twenty patients underwent totally endoscopic VSD repair.All operations were performed via three ports in chest wall.The safty and effuacy were ampoved between VSD repair group and control group.Results： Totally endoscopic VSD closure was successful in all patients.There was no conversion to sternotomy,no hospital mortality,no serious complications and no residual shunt.This novel procedure could decrease blood loss,promote postoperative recovery,relieve pain,minimize invasiveness and improve cosmetic result.Conclusions： Totally endoscopic VSD repair could be performed safely and effectively if patients are chosen strictly following the indication.

关 键 词：全腔镜室缺修补术 周围体外循环 正中开胸手术 

分 类 号：R654.2[医药卫生—外科学]