胸部小切口主动脉瓣置换手术的临床疗效分析  

Analysis of Clinical Curative Effect of Chest Small-incision Aortic Valve Replacement Surgery

作　　者：李鹏 LI Peng(Department of Cardiac Macrovascular Surgery, Heilongjiang Far East Cardiovascular and Cerebrovascular Hospital, Harbin, Heilongjiang Province, 150046 China)

机构地区：[1]黑龙江远东心脑血管医院心脏大血管外科,黑龙江哈尔滨150046

出　　处：《中外医疗》2018年第12期98-99,102,共3页China & Foreign Medical Treatment

摘　　要：目的探讨胸部小切口主动脉瓣置换手术的临床疗效及安全性,为评价胸部小切口主动脉瓣置换手术临床可行性提供参考依据。方法便利选取2015年6月—2017年1月来该院行主动脉瓣置换手术的患者98例作为研究对象,随机分为观察组(56例)和对照组(42例),对照组患者进行传统主动脉瓣置换手术治疗,观察组患者进行胸部小切口主动脉瓣置换手术治疗,比较两组患者引流量、呼吸机辅助时间、输血量、ICU停留时间、住院时间、术后疼痛指数及术后并发症发生情况等。结果观察组引流量、输血量显著比对照组少,观察组呼吸机辅助时间、ICU停留时间、住院时间显著比对照组短;对照组患者有2例(4.76%)发生鸡胸,3例(7.14%)发生术后感染,观察组1例(1.79%)发生术后感染,对照组并发症的发生率显著比观察组高(P<0.05)。结论胸部小切口主动脉瓣置换手术的临床疗效肯定,术后疼痛小,并发症发生率相对较低,值得进行临床推广。Objective To study the clinical curative effect and safety of chest small-incision aortic valve replacement surgery thus providing basis for the clinical feasibility. Methods 98 cases of patients with aortic valve replacement surgery in our hospital from June 2015 to January 2017 were convenient selected and randomly divided into two groups, the control group with 42 cases used the traditional aortic valve replacement surgery, while the observation group with 56 cases used the chest small-incision aortic valve replacement surgery, and the drainage volume, respiration assisted time, blood infusion, ICU time, length of stay, postoperative pain index and occurrence of postoperative complications were compared between the two groups. Results The drainage volume and blood infusion in the observation group were shorter than those in the control group, and the respiration assisted time, ICU time and length of stay in the observation group were obviously shorter than those in the control group, and the incidence rate of complications in the control group was obviously higher than that in the observation group, [2 cases（4.76%） pigeon chest,3 cases（7.14%） postoperative infection vs 1 cases（1.79%）postoperative infection]（P 0.05）. Conclusion The clinical curative effect of chest small-incision aortic valve replacement surgery is definite, with small postoperative pains and relatively low incidence rate of complications, and it is worth clinical promotion.

关 键 词：胸部 小切口 主动脉瓣置换术 疗效 

分 类 号：R4[医药卫生—临床医学]