双孔法全胸腔镜心脏手术的学习曲线研究  

Study of the Learning Curve of Total Thoracoscopic Cardiac Surgery Double Orifice

作　　者：杜中泳 曹宇 代国林 赵玮 李洪荣 熊达 DU Zhongyong;CAO Yu;DAI Guolin;ZHAO Wei;LI Hongrong;XIONG Da(The Affiliated Hospital of Kunming University of Science and Technology,Department of Cardiovascular Surgery of The First People’s Hospital of Yunnan Province,Kunming 650032,China)

机构地区：[1]昆明理工大学附属医院,云南省第一人民医院心脏大血管外科,昆明650032

出　　处：《宁夏医科大学学报》2025年第2期194-197,共4页Journal of Ningxia Medical University

基　　金：云南省科技厅科技计划-昆明医科大学联合专项(202001 AY070001-284);国家自然科学基金项目(81760059)。

摘　　要：目的探讨双孔法全胸腔镜心脏手术的手术质量并分析其学习曲线。方法回顾性分析连续完成的100例双孔法全胸腔镜心脏手术患者的临床资料,按照手术时间顺序分为A组、B组,每组患者50例。收集各组手术的体外循环时间、主动脉阻断时间、术后重症监护室(ICU)停留时间和术后呼吸机辅助时间等指标,比较手术效果。结果总手术失败率为5.0%。随着手术例数的增加,B组的体外循环时间指标优于A组,当手术例数达到50~60例时,体外循环时间稳定小于平均值。结论双孔法全胸腔镜心脏手术存在明显的学习曲线。术者进行了50~60例手术后,可以熟练掌握双孔法全胸腔镜心脏手术。Objective To monitor surgical quality and analyze learning curve of minimally invasive totally thoracoscopic cardiac surgery double orifice.Methods The clinical data of 100 consecutive patients with totally thoracoscopic cardiac surgery double orifice method completed were retrospectively analyzed,and were divided into group A and group B according to the chronological order of surgery,with 50 patients in each group.The extracorporeal circulation time,aortic block time,postoperative ICU stay time and postoperative ventilator-assisted time of each group were collected to compare the surgical effects.Results The total surgical failure rate was 5.0%.With the increase of surgical cases,the cardiopulmonary bypass time of the group B was significantly better than that of the group A.When surgical cases reached about 50-60 cases,the cardiopulmonary bypass time was stable and less than the average.Conclusion There is an obvious learning curve in thoracoscopic cardiac surgery double orifice.After accumulating 50 to 60 cases of operation,the surgeons were proficient in totally thoracoscopic cardiac surgery double orifice.

关 键 词：双孔法全胸腔镜心脏手术 微创心脏手术 学习曲线 

分 类 号：R654.2[医药卫生—外科学]