微创胸骨上段小切口主动脉瓣置换术的临床研究  

Clinical study of aortic valve replacement via minimally partial upper sternotomy

作　　者：宋鹏[1] 何发明[1] 梁志强[1] 彭帮田[1] 郑向阳[1] 王平凡[1] SONG Peng;HE Fa-ming;LIANG Zhi-qiang;PENG Bang-tian;ZHENG Xiang-yang;WANG Ping-fan(Department of Cardiac Surgery,Henan Provincial Chest Hospital,Chest Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院,郑州大学附属胸科医院心血管外科,郑州450000

出　　处：《医药论坛杂志》2023年第15期28-31,共4页Journal of Medical Forum

摘　　要：目的 比较微创胸骨上段小切口主动脉瓣膜置换术与常规胸骨正中切口主动脉瓣置换术的疗效及术后并发症的差异。方法 选取河南省胸科医院2020年12月-2021年12月进行的微创胸骨上段小切口主动脉瓣膜置换术36例作为观察组,同期进行的正中切口主动脉瓣膜置换术53例作为对照组。比较两组患者术前的一般术前资料、手术时间、体外循环时间、心肌阻断时间、术后24 h引流量、呼吸机使用时间、ICU滞留时间、住院天数等情况。结果 全组无死亡,两组病例手术时间、体外循环时间、阻断时间均无明显差异(P>0.05);观察组手术切口的长度明显短于对照组,并且观察组的呼吸机使用时间(15.31±10.30)h、术后24 h引流量(371.39±112.58)mL、ICU滞留时间(35.67±15.86)h、术后住院天数(22.25±5.82)d,均明显优于对照组(P<0.05);观察组体外循环时间、阻断时间略长于对照组。结论 微创胸骨上段小切口是一种安全、有效的主动脉瓣置换方法。Objective To compare the difference in efficacy and postoperative complications between the convention-al median sternotomy and the minimally partial upper sternotomy.Methods Totally 36 cases aortic valve replace-ment of the minimally partial upper sternotomy from December 2020 to December 2021,and 53 cases of conven-tional median incision aortic valve replacement performed in the same period.The general data before surgery,op-eration time,cardiopulmonary bypass time,myocardial blockade time,drainage 24 hours after surgery,ventilator use time,ICU stay time,and hospital stay days were compared between the two groups.Results There was no death in the whole group,and there were no significant differences in operation time,extracorporeal circulation time and blocking time between the two groups(P>0.05).The length of incision in the observation group was signifi-cantly shorter than that in the control group,and the ventilator use time(15.31±10.30)h,postoperative drainage volume(371.39±112.58)mL,ICU stay time(35.67±15.86)h,postoperative hospitalization days(22.25±5.82)d in the observation group were significantly better than those in the control group According to group(P<0.05);The cardiopulmonary bypass time and blocking time in the observation group were slightly longer than those in the control group.Conclusion Minimally invasive small upper sternal incision is a safe and effective method of aortic valve replacement.

关 键 词：微创手术 胸骨上段小切口 主动脉瓣置换术 

分 类 号：R654.2[医药卫生—外科学]