112例经右外侧小切口下行房间隔缺损修补术的体会  

Experience of 112 cases of the right lateral incision in the atrial septal defect repair

作　　者：吴永涛[1] 李磊[1] 范祥明[1] 朱耀斌[1] 陈哲[1] 李志强[1] 苏俊武[1] 程沛[1] 刘迎龙[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所小儿心脏科,北京100029

出　　处：《心肺血管病杂志》2012年第5期540-541,共2页Journal of Cardiovascular and Pulmonary Diseases

基　　金：科研基地-科技创新平台-提高重症复杂先心病患儿疗效的基础与临床研究(PXM2011_014226_07_000060);北京市自然科学基金(No.7112046;No.7122056);北京市医药产品和技术重大项目培育研究(Z101107050210020);首都市民健康项目培育(Z111100074911001)

摘　　要：目的:通过分析右外侧小切口行房间隔缺损修补术的病例,探讨右外侧小切口在房间隔缺损修补术的应用与推广。方法:2011年1月至2011年9月,112例房间隔缺损修补术在右外侧小切口下完成。其中男性44例,女性68例。年龄平均58.7个月(6～489个月),体质量平均16.6kg(4.8～69kg)。20例合并心脏畸形如三尖瓣关闭不全,部分肺静脉异位引流,永存左上腔静脉。结果:术后2例出现早期血痰,1例出现神经系统并发症,1例引流偏多。均获得定期随访,随访时间3～12个月,无死亡,超声心动图示无残余分流,无胸廓畸形。结论:房间隔缺损修补术可以在右外侧小切口下完成,该入路安全可靠,创伤小,暴露好,恢复快及美观效果强。Objective：To apply and promote the right lateral incision in the atrial septal defect repair by analyzing the atrial septal defect（ASD） repairing cases under right lateral incision. Methods： Between January 2011 and September 2011, 112 patients with ASD were done under right lateral incision, d4 male and 68 fe- male, Median age at surgery was 58. 7 months （6 to 489）. Median Weight at surgery was 16.6 kg （d. 8 to 69 ）. 20 ASD company with other cardiac malformations, include tricuspid regurgitation, partial anomalous pul- monary venous connection, persist left superior vena cava. Results： Two cases of early bloody sputum, one case of neurological complications, and one case of more drainage. Regular follow-up from 3 to 12 months. No death, echocardiography show no residual shunt, no thoracic deformity. Conclusion： ASD repair can be done through right lateral incision. This access is reliable, less trauma, good exposure, rapid recovery and good cos- metic result.

关 键 词：先天性心脏病 房间隔缺损修补术 右外侧小切口 

分 类 号：R54[医药卫生—心血管疾病]