不同入路心包剥离术治疗缩窄性心包炎的效果分析  

Effect analysis of different approaches of pericardiectomy for constrictive pericarditis effect

作　　者：陈洪 

机构地区：[1]江西省赣州市立医院心胸外科,江西赣州341000

出　　处：《中国当代医药》2014年第3期29-30,33,共3页China Modern Medicine

摘　　要：目的探析缩窄性心包炎进行不同入路心包剥离术的临床效果。方法选取本院慢性缩窄性心包炎患者84例,随机分为观察组、对照组,每组各42例。两组均进行心包剥离术治疗,观察组选择胸骨正中切口入路,对照组选择胸前双侧横切口入路方式,比较两组治疗前后的心脏各压力及心功能NYHA评级指标。结果观察组的舒张压、收缩压、中心静脉压、脉压等指标显著优于对照组(P<0.05);观察组的心功能NYHA评级指标显著优于对照组(P<0.05)。结论胸骨正中切口入路部分心包剥离术治疗慢性缩窄性心包炎,可有效促进患者心功能的迅速康复,术后对肺功能影响小,临床效果确切,而胸前双侧横切口入路创伤大,术后对肺功能的影响大。Objective To discuss and analyze the clinical effects of different approaches of pericardium decollement for treatment of constrictive pericarditis. Methods 84 patients with chronic constrictive pericarditis were selected and ran- domly divided into observation group and control group,each group of 42 cases.Both groups were given pericardium decollement treated.Observation group adopted sternum midline incision approach and control group adopted bilateral breast crosscutting approach.Heart pressures and NYHA heart function evaluation index of the 2 groups before and af- ter treatments were compared. Results The DBP,SBP, CVP and pulse pressure difference of observation group was ob- viously better than that of control group respectively （P〈0.05）.NYHA heart function evaluation index of observation groups was obviously better than that of control group （P〈0.05）. Conclusion Pericardium decollement by sternum mid- line incision approach for treatment of chronic constrictive pericarditis can effectively promote quick recovery of heart function and has little impact on lung function after surgery.Its clinical effect is accurate,on the contrary,bilateral breast crosscutting approach can produce large incisions and it has big impact on lung function after surgery.

关 键 词：临床分析 心包剥离术 缩窄性心包炎 不同手术入路 

分 类 号：R542.11[医药卫生—心血管疾病]