介入治疗与开胸手术治疗小儿室间隔缺损的临床疗效对比  

Clinical efficacy of interventional therapy and thoracotomy in the treatment of ventricular septal defect in children

作　　者：刘剑[1] 罗金文[1] 王敬华[1] 黄鹏[1] 

机构地区：[1]湖南省儿童医院心胸外科,长沙410007

出　　处：《中国中西医结合儿科学》2017年第3期240-242,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的对比介入治疗与开胸手术治疗小儿室间隔缺损临床疗效。方法 2014年3月至2016年4月湖南省儿童医院心胸外科收治住院的小儿室间隔缺损患儿150例,依据治疗方案将接受介入治疗的50例患儿为观察组,接受开胸手术治疗的100例患儿为对照组。两组手术成功率、手术时间、术后住院时间、并发症发生率。结果两组手术成功率比较差异无统计学意义(P>0.05);观察组手术时间与术后住院时间均显著小于对照组,差异有统计学意义(P<0.05)。对照组术后并发症发生率为14%(14/100),显著高于观察组2%(1/50),差异有统计学意义(P<0.05)。结论相对于开胸手术,介入治疗小儿室间隔缺损疗效理想且安全性高,可作为优选治疗方案推广使用。Objective To compare the clinical efficacy between interventional therapy and thoracoto- my in the treatment of children with ventricular septal defect. Methods A total of 150 children with ventric- ular septal defect were hospitalized in our hospital from March 2014 to April 2016. Among them, 50 pa- tients were treated with intervention（observation group） and 100 patients underwent thoracotomy（control group）. The clinical efficacy of the two groups were compared, including the success rate, length of hospital stay after operation, and incidence of complications. Results There was no significant difference in the suc- cess rate between the two groups（P〉0.05）. The difference of the operation time and postoperative hospi-talization time were significantly shorter in the observation group and the difference was statistically signifi- cant（P〈0. 05）. The rate of complications in the control group was 14% （14/100）, which was significantly higher that of the observation group（2 %, 1/50）, and the difference was statistically significant （ P〈 0.05 ）. Conclusion Compared with thoracotomy, interventional treatment for ventricular septal defect in children is effective and safe, and can be used as a preferred treatment regimen.

关 键 词：室间隔缺损 介入治疗 开胸手术 儿童 

分 类 号：R726.5[医药卫生—儿科]