右腋下小切口外科封堵治疗先天性心脏病的效果观察  

Observation of surgerical occlusion operation with subaxillary minithoractomy for congenital heart diseases treatment

作　　者：孙俊杰[1] 范太兵[1] 彭帮田[1] 姬冰[1] 罗帅伟[1] 权晓强[1] 刘琳[1] 赵健[1] 程兆云[1] 

机构地区：[1]河南省人民医院心血管外科,郑州450003

出　　处：《中国实用医刊》2015年第5期20-21,共2页Chinese Journal of Practical Medicine

基　　金：国家临床重点专科建设项目（2011）;河南省卫生厅5451工程资助项目（201201077）

摘　　要：目的探讨右腋下小切口外科微创封堵治疗先天性心脏病（先心病）的临床效果。方法回顾性分析2013年10月至2014年4月本中心24例经右腋下小切口行外科封堵治疗的先心病患者临床资料，其中男11例，女13例，年龄0．6～24岁，体质量4．3～62kg；术前诊断：中央型房间隔缺损12例，室间隔缺损12例。结果全组无死亡，所有患者成功进行外科封堵手术，24例患者均痊愈出院，术后住院天数2～10d，平均6．25d，无残余分流、Ⅲ度房室传导阻滞等并发症发生。结论外科封堵治疗先心病创伤小、安全可靠、效果良好，腋下切口入路行外科封堵手术适舍于部分常见先心病的治疗。Objective To investigate the clinical effect of surgerical occlusion operation with subaxillary minithoractomy on congenital heart diseases. Methods A retrospective analysis of 24 patients with congenital heart diseases conducted surgerical occlusion operation in this hospital from October 2013 to April 2014 was made. There were 11 cases of male and 13 cases of female, 0. 6 -24 years old. Preoperative diagnosis showed 12 cases were central atrial septal defects and 12 cases ventricular septal defects. Results No death occurred in the group and all cases had been cured. Postoperative hospitalization days was 2 - 10 d（6.25 days average）. There was no residual shunt and atrioventricular block or other complications. Conclusions Surgical occlusion operation is a safe and effective way in the treatment of congenital heart disease, and the subaxillary incision approach for surgical occlusion operation is suitable for the treatment of congenital heart diseases.

关 键 词：先天性心脏病 外科封堵术 微创 小切口 介入 

分 类 号：R654.2[医药卫生—外科学]