72例继发孔型房间隔缺损右胸小切口封堵手术体会  

Experiences of occlusion surgery through minimal right thoracotomy incision on 72 patients with secundum atrial septal defects

作　　者：毛志刚 唱宽 舒健 关国印 曲虹[2] 

机构地区：[1]解放军第四六三医院心胸外科,辽宁沈阳110042 [2]沈阳军区总医院神经外科,辽宁沈阳110016

出　　处：《临床军医杂志》2016年第7期695-697,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨右胸小切口封堵治疗继发孔房间隔缺损（ASD）的应用效果、安全性及应用前景。方法回顾性分析自2007年9月至2015年9月在解放军463医院采用右胸小切口封堵治疗的72例ASD患者的临床资料,缺损大小6~30 mm,中央型ASD 32例,混合型ASD 40例,其中,有6例为多孔型房间隔缺损。结果全组患者均封堵成功。4例术后并发右侧胸腔积液,无死亡患者。术后1、4、10个月行经胸超声心动图（TTE）检查,无残余分流。结论右胸小切口封堵治疗ASD是一种安全、有效、微创的手术方式,值得在临床上推广应用。Objective To explore the application effect,safety and application prospect of occlusion surgery through minimal right thoracotomy incision in the treatment of secundum atrial septal defect（ ASD）. Methods Retrospective analysis of the clinical data of 72 patients with ASD who were treated in our hospital from September 2007 to September 2015. The whole set included 39 males and 33 females with the age between 0. 8-18. 0 year-old,the weight between 8. 5-50. 5 kg,the size of ASD between 6-30 mm. Types of ASD included 32 cases of central-type ASD and 40 cases of mixed-type ASD,of which 6 cases were of multi-fenestrated ASD. Results Totally 72 patients were cured,no patients died,right pleural effusion in 4 cases. All 72 patients were examined by transthoracic echocardiography（ TTE） at 1 months,4 months,10 months after surgery,and there was no residual shunt in the whole set. Conclusion Occlusion surgery through minimal right thoracotomy incision in the treatment of ASD is safe,effective,minimally invasive and less painful.It is worth promoting in clinic.

关 键 词：房间隔缺损 小切口 经胸封堵术 

分 类 号：R654.2[医药卫生—外科学]