右腋下小切口在小儿心内直视手术中的应用研究  

Application of the right axillary incision in pediatric heart surgery

作　　者：陈仁伟[1] 罗金文[1] 曾德斌[1] 阳广贤[1] 王敬华[1] 

机构地区：[1]湖南省儿童医院心胸外科,湖南省长沙市410007

出　　处：《临床小儿外科杂志》2014年第3期214-216,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的比较小儿右腋下小切口与胸骨正中切13行心内直视手术的临床资料，探讨右腋下小切口先心病手术的临床效果。方法我们自2012年12月至2013年12月实施右腋下小切口小儿心内直视手术102例，与同期胸骨正中切口手术主要诊断类似患儿102例比较，进行回顾性分析。结果两组主动脉阻断时间、体外循环时间及手术时间比较，差异无统计学意义（P〉0．05）。呼吸机辅助通气时间、术后24h引流量以及术后住院时间比较，右腋下小切口优于胸骨正中切口，差异有统计学意义（P〈0．01）。结论采用右腋下小切口能安全有效地完成先心病心内直视手术，治疗效果好，术后恢复快，切口美观。Objetive To compare the clinical data of open heart surgery using the right axillary incision with using median sternotomy incision, to explore the ehnieal effect of right axiUary incision surgery for congeni- tal heart disease. Methods We have performed 102 eases of open heart surgery in the right axillary incision, and in median sternotomy ineisioh respectively. They have similar primary diagnosis at the same period, were retrospectively analyzed since December 2012 to December 2013. Results The aortic clamping time,eardiopulmonary bypass time and operation time, the difference was not statistically significant （ P 〉 0.05 ）. Mechanical ventilation time,24 h after drainage and postoperative hospital stay compared with right axillary incision superior median sternotomy, the difference was statistically significant （P 〈 0.01 ）. Conclusion The right axillary incision can accomplished congenital heart heart surgery safely and effectively, rapid postoperative recovery, and good incision appearance.

关 键 词：心脏病 先天性 胸骨 外科手术 儿童 

分 类 号：R654.2[医药卫生—外科学]