右腋下直切口室间隔缺损的外科治疗  

Right subaxillary minithoracotomy for ventricular septal defect surgery

作　　者：孙善权[1] 刘桂颖[1] 张雪[1] 丛艳杰 徐娟[1] 赵连敏[1] 

机构地区：[1]吉林省柳河医院心外科,吉林柳河135300

出　　处：《吉林医学》2003年第1期35-36,共2页Jilin Medical Journal

摘　　要：目的:通过右腋下直切口治疗先天性心脏病可以达到创伤小,痛苦轻,切口隐蔽和增强患儿自信心的目的。方法:本组15例患儿中,均为室间隔缺损,其中11例人工补片修补,3例为肺动脉干下型室间隔缺损,1例合并二尖瓣关闭不全,1例合并双腔右心室,2例合并动脉导管未闭。结果:全组无手术死亡,体外循环时间32～43min,主动脉阻断时间9～22min,手术全程(90±10)min,术后5～7d出院。结论:微创伤切口先天性心脏病手术能达到完全的修复效果。Objective To show that patients with ventricular septal defect can be treated by operation through the right subaxillary minithora cotomy incision.This operative ap proach has the benefits of bringing to the patients minimal trau ma ,less agony and better cosmetic effect which may give more self-confidence to the patients.Method All the15patients were diag nosed as ven tricu lar sep tal defects.But 1patient was com plicated with mitral in competence,1with double chambered right ven tricle,3with in fundibu lar ventricular septal defect and2with patent ductus arteriosus.3re ceived direct suture,and11was re paired with artificial patches.Results There are no operative deaths.Every operation was completed within90±10minutes.Cardiopul monary bypass time was32to43minutes,and aortic cross-clamping time was9to22minutes.The duration of patients' hospi talization was5to7days.Conclusion Open heart surgery performed through right subaxillary incision can lead to an excellent operative or clini cal results in treating patients with ventricular septal defect.

关 键 词：右腋下直切口 室间隔缺损 外科手术 治疗 

分 类 号：R654.2[医药卫生—外科学]