房间隔缺损修补术中应用全腔镜辅助体外循环的效果分析  

Clinical Effect of Laparoscopic Assisted Extracorporeal Circulation Assisted Repair of Atrial Septal Defect in Patients with Atrial Septal Defect

作　　者：雷浩 李正红 向道康[1] LEI hao;LI Zhenghong;XIANG Daokang(Department of Cardiac Surgery,Guizhou Provincial People’s Hospital,Guiyang 550000,China)

机构地区：[1]贵州省人民医院心外科,贵州贵阳550000

出　　处：《中国伤残医学》2024年第24期13-17,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析房间隔缺损(ASD)修补术中应用全腔镜辅助体外循环(CPB)的效果。方法:选取2022年2月—2024年2月贵州省人民医院行ASD修补术的60例ASD患者进行回顾性分析,按照不同手术方式分成研究组与对照组,各30例。对照组实施常规开胸手术,研究组实施全腔镜辅助CPB手术。比较两组围手术期指标、疼痛程度、胸廓损伤情况、并发症发生情况。结果:研究组住院时间短于对照组,红细胞输入量、术后24 h胸腔引流量少于对照组,差异有统计学意义(P<0.05)。研究组术后各时间段疼痛视觉模拟评分低于对照组,差异有统计学意义(P<0.05)。研究组胸廓变形、压气感、胸廓麻木感发生率低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率6.67%低于对照组的30.00%,差异有统计学意义(P<0.05)。结论:全腔镜辅助CPB下ASD修补术治疗ASD患者能够减少红细胞输入量与胸腔引流量,减轻胸廓损伤程度,缓解术后疼痛感,促进患者术后恢复,降低并发症发生风险。Objective:To analyze the effect of total endoscopic assisted cardiopulmonary bypass(CPB)in the repair of atrial septal defect(ASD).Methods:A retrospective analysis of a total of 60 ASD patients from February 2022 to February 2024 who were underwent ASD repair surgery under CPB in Guizhou Provincial People's Hospital were selected,and were divided into a study group and a control group with 30 cases in each group.The control group underwent conventional thoracotomy and the study group underwent laparoscopic assisted CPB surgery.The perioperative indicators,pain level,chest injury,and complications in both groups were compared.Results:In comparison of the control group,the hospital stay in the study group was shorter,the red blood cell input and postoperative 24-hour chest drainage volume were lower,and the differences were statistically significant(P<0.05).In comparison of the control group,the Visual Analogue Scale scores at all postoperative time points in the study group were lower,and the differences were statistically significant(P<0.05).In comparison of the control group,the incidence of chest deformation,pressure sensation,and chest numbness in the study group were lower,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 6.67%,lower than 30.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of full endoscopic assisted CPB for ASD repair can reduce red blood cell input and thoracic drainage,alleviate thoracic injury,relieve postoperative pain,promote patient recovery,and reduce the risk of complications.

关 键 词：房间隔缺损 房间隔缺损修补术 体外循环 全腔镜 疼痛程度 并发症 

分 类 号：R541[医药卫生—心血管疾病]