胸腔镜与传统开胸心脏跳动下房间隔缺损修补的临床效果比较  

Comparison of the clinical effect between video-assisted thoracic surgical technique and conventional thoracotomy on beating heart in repairing atrial septal defect

作　　者：钟齐庆[1] 杜正隆[1] 凌毅[1] 

机构地区：[1]钦州市第二人民医院心胸外科,广西535000

出　　处：《中国临床新医学》2013年第11期1039-1041,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西自然科学基金资助项目(编号:桂科自0542117)

摘　　要：目的对比完全胸腔镜与传统开胸手术治疗先天性房间隔缺损(ASD)的效果。方法 ASD修补术患者30例分为心脏跳动下电视胸腔镜组(15例)和传统开胸组(15例)进行手术。比较两组体外循环时间、完成手术时间、术后拔除气管插管时间、术后引流量、住院时间及外科治疗效果。结果体外循环时间、完成手术时间、术后拔除气管插管时间及外科治疗效果两组比较差异无统计学意义(P>0.05)。电视胸腔镜组引流量、住院时间、术后切口疼痛发生率少于或低于传统开胸组,差异有统计学意义(P<0.05)。结论胸腔镜具有创伤小、恢复快、疼痛轻等特点,心脏不停跳下完成胸腔镜ASD手术是可行的。Objective To compare the effect between Totally video-assisted thoracic surgical technique （VATS） and conventional thoracotomy （ CT） on beating heart in repairing atrial septal defect （ ASD）.Methods Thirty patients with atrial septal defect were divided into 2 groups averagely （ VATS group and CT group ） .In the VATS group, the atrial septal defects were repaired with video-assisted thoracic surgical technique and in CT group with conventional thoracotomy .The bypass time , the operative time and the postoperative mechanical ventilation time, chest drainage volume , days of postoperative hospital stay and the effect of surgical procedures were compared beteen two groups .Results Between two groups , there were no differences in the bypass time ,the operative time ,and the postoperative mechanical ventilation time ,and the effect of surgical procedures （ P〉0.05 ） .However , there were differences in chest drainage volume , days of postoperative hospital stay , postoperative incision pain （ P〈0.05 ） .The VATS group had a significantly less chest drainage volume , significantly shorter days of postoperative hospital stay . Conclusion VATS has the advantages of shorter chest incision length ,shorter time of recovery ,less incision pain and so on.The ASD repair under VATS on beating heart was feasible .

关 键 词：胸腔镜 房间隔缺损 体外循环 

分 类 号：R654.2[医药卫生—外科学]