先心病经胸微创封堵手术体会及早期疗效分析  

The experience and early results analysis of minimally invasive surgical closure of congenital heart disease

作　　者：吴澄[1] 吉灵[1] 钟丰文[1] 罗列[1] 蔡隆仁[1] 

机构地区：[1]江西省赣州市人民医院心胸外科,江西赣州341000

出　　处：《中国现代医生》2015年第34期40-42,共3页China Modern Doctor

摘　　要：目的分析与探讨经胸微创封堵手术治疗先天性心脏病的临床资料效果。方法选取2014年4月~2015年2月在我院科室接受治疗的46例先天性心脏病患者,回顾性分析其临床资料。结果 7例房间隔缺损均采用封堵手术,无一例改行体外循环,37例室间隔缺损患者中有3例因封堵术失败改行体外循环直视下室缺修补术,2例动脉导管未闭患者均顺利完成手术,术后未留置心包引流。结论经胸微创封堵手术具有创伤小、恢复快、安全及美观等优点,早期疗效确切,中长期效果仍在随访中。Objective To analyze and discuss the clinical effect of minimally invasive surgical treatment for congenital heart disease. Methods A total of 46 patients with congenital heart disease who received treatment in our hospital from April 2014 to February 2015 were retrospectively analyzed. Results 7 cases of atrial septal defect were treated with surgical closure, were diverted to extracorporeal circulation, 37 cases of patients with ventricular septal defect in 3 patients because of the failure of occlusion therapy diverted under cardiopulmonary bypass chamber septal defect repair operation, 2 cases of patent ductus arteriosus patients were successfully completed surgery, postoperative non indwelling pericardial drainage. Conclusion Minimally invasive percutaneous closure of thoracic surgery has the advantages of small trauma, quick recovery, safety and beauty. The early curative effect is accurate, the long-term effect is still followed up.

关 键 词：先心病 经胸微创封堵手术 超声评估 封堵器 

分 类 号：R726.5[医药卫生—儿科]