经胸微创封堵技术治疗室间隔缺损应用体会  

Experience of minimally invasive transthoracic device closure for patient with ventricular septal defect

作　　者：张向辉[1] 杨再珍[1] 王岩青[2] 

机构地区：[1]郑州人民医院心脏大血管外科,河南郑州450003 [2]郑州人民医院超声科,河南郑州450003

出　　处：《中国现代医学杂志》2015年第5期76-79,共4页China Journal of Modern Medicine

摘　　要：目的总结经胸微创封堵技术治疗室间隔缺损的优点及体会。方法回顾分析55例经胸微创封堵治疗室缺的切口选择、手术时间、心内操作时间和并发症发生情况。结果两类切口行微创封堵术治疗,术后均痊愈出院,但两者在围术期并发症发生率方面差异有统计学意义(P<0.05)。结论经胸微创室缺封堵技术具有较多优点,其中经胸骨旁肋间切口对术者的手术技巧及与超声医师配合要求更高,胸骨下段切口更适合初学者采用。【Objective】 To summarize the experience of minimally invasive device closure for the patient with ventricular septal defect（VSD）. 【Methods】 Fifty-five patients with ventricular septal defect underwent minimally invasive device closure under the guiding of transesophageal echocardiography（TEE）. The different incision, the total operation time, the in heart operation time and the complications were compared. 【Results】Closure of VSD by the two different incisions was successfully performed in all the patients without mortality,but there was notable difference（P 〈0.05） between the complication rates.【Conclusion】 There are many profits by minimally invasive device closure for the patient with VSD. The advanced doctors can choose the incision of the intercostal space beside sternum, but it is better for the beginners to choose the lower longitudinal sternal incision.

关 键 词：经胸微创封堵术 室间隔缺损 食管超声心动图 

分 类 号：R654.23[医药卫生—外科学]