电视胸腔镜用于体外循环心内畸形纠治的前景  

The Prospects of Video-Assisted Thoracoscopic Surgery (VATS) Invasive Operation on Congenital Cardiac Defect with Extracorporeal Circulation

作　　者：阮秀璇[1] 江国健[1] 郑振雄[1] 张和英[1] 林榕[1] 翁国星[2] 黄志强[3] 

机构地区：[1]福建省立医院省心血管病研究所麻醉科,福建福州350001 [2]福建省立医院省心血管病研究所心外科,福建福州350001 [3]中国工程院

出　　处：《中国体外循环杂志》2003年第3期131-133,共3页Chinese Journal of Extracorporeal Circulation

摘　　要：目的　对电视胸腔镜 (VATS)下心内畸形纠治术的前景作初步评估。方法　 17例VATS下心内畸形纠治术 ,房间隔缺损 (ASD) 13例 ,室间隔缺损 (VSD) 4例 ;年龄 13～ 4 5岁 ,体重 31.5～ 6 0kg与同时期成人先心病常规体外循环 (CPB)病例 16例 (ASD和VSD各 8例 )分为A ,B两组行多参数对比 t检验。结果　年龄 ,体重 ,心胸比例 ,升主动脉阻断时间 ,上腔静脉阻断时间 ,下腔静脉阻断时间 ,术后在ICU带管时间和滞留时间 ,术后到出院时间A、B两组间无差别。而停机后关胸时间、术后主诉伤口疼痛例数 ,镇痛药用量及术后 2 4h胸腔引流量两组间有极显著差异 ,A组显著优于B组。 33例无死亡。结论　VATS心内畸形纠治术是一项较新的技术 ,与传统心脏外科相比已显示其优越性 ,但此技术还有待于进一步研究 ,发展 。OBJECTIVE To evaluate the prospects of video-assisted thoracoscopic invasive operation on congenital cardiac defect with extracorporeal circulation.METHODS Group A consisted of 17 adult cases of congenital cardiac defect(13 for ASD and 4 for VSD) who underwent VATS invasive operation, group B consisted of 16 adult cases(8 for ASD and 8 for VSD) who underwent traditional open surgical procedure.We used multi-parameter comparsion and T test. RESULTS There was difference in intubation time in ICU,total time in ICU and postoperative hospital stay between group A and B .Statistically,,group A required less closing chest time, less postoperative analgesice,and they had less chest drainage and fewer complaints of pain. CONCLUSION The VATS invasive operation with extracorporeal circulation has been shown to be the superior when compared with the traditional surgical procedure.But, futher improvement and study are necessary.

关 键 词：电视胸腔镜 体外循环 心内畸形 手术治疗 

分 类 号：R654.1[医药卫生—外科学]