胸骨下段小切口在先天性心脏病手术中的应用  

The substernal segment mini-thoracotomy in the treatment of the pediatric congenital heart disease

作　　者：伍建国[1] 曹勇[1] 陈恩碧[1] 李绍鹏[2] 

机构地区：[1]广东省湛江中心人民医院,广东湛江524037 [2]深圳市龙岗中心医院,广东深圳518116

出　　处：《中国当代医药》2013年第8期64-65,共2页China Modern Medicine

摘　　要：目的总结经胸骨下段小切口在小儿先天性心脏病手术中应用的体会。方法同一时期随机选取152例小儿先天性心脏病患者,采用胸正中切口102例,胸骨下段小切口50例进行先天性心脏病矫治手术,对术后各项指标进行观察、分析。结果两组间的体外循环时间、呼吸机辅助通气时间无统计学差异;与胸正中切口组对比,胸骨下段小切口组胸液引流量[(144.92±64.30)mL]少以及平均住院天数[(6.98±0.58)d]较短。结论胸骨下段小切口具有损伤小、不破坏胸廓连续性、防止术后鸡胸等优点,符合微创外科的原则,值得推广。Objective To summarize the experience of substernal segment mini-thoracotomy in the treatment of the pediatric congenital heart disease. Methods A total of 152 cases with congenital heart disease were operated on by two approach,including 102 median sternotomy incision and 50 substernal segment mini-thoracotomy. The results were analysed retrospectively. Results The cardiopulmonary bypass time and the mechanical ventilation time were not sta- tistically different between the two groups. The average total chest drainage [（144.92±64.30） mL] and mean postopera- tive hospital stay [（6.98±0.58） d] of substernal segment mini-thoracotomy was lower than that of median sternotomy incision. Condmion Substernal segment mini-thoracotomy is minimally invasive,without impairing the integrity of the bony thorax.h gives exeelent cosmetic results and prevents patients from postoperative pigeon chest.

关 键 词：胸骨下段小切口 先天性心脏病 幼儿 手术 

分 类 号：R654[医药卫生—外科学]