安徽医科大学学报Issue(6)：864-866,867,4.
胸骨下段小切口及胸骨正中切口治疗儿童先天性心脏病的对比研究
Comparison of the treatment of pediatric congenital heart disease via lower partial median sternotomy and median sternotomy
摘要
Abstract
Retrospective analyses of the clinical results of 198 children performed congenital heart disease repair via lower partial median sternotomy and median sternotomy approaches. All patients were divided into lower partial median sternotomy group(group A)and midian sternotomy group(group B). Age,gender,body weight,left ven-tricular ejection fraction and cardiothoracic ratio were similar between the two groups. There was no death case in the two groups. In ASD repair operation time,mechanical ventilation time,chest drainage within 24 h after opera-tion and length of incision were significantly lower in the group A than in group B(P < 0. 05). Cardiopulmonary by-pass time and postoperative hospital stay time were similar between the two groups. In VSD repair operation time, chest drainage within 24 h after operation and length of incision were significantly lower in the group A than in group B( P < 0. 05). Cardiopulmonary bypass time,mechanical ventilation time and postoperative hospital stay time were similar between the two groups. All patients had NYHA class I heart function during 2 ~ 36 months fol-low-up. There was no sternal malformation in group A,and 6 cases of chicken breast in group B. Pediatric congen-ital open heart operation via lower partial median sternotomy is not only effective and safe,but also has cosmetic and minimally invasive results.关键词
先天性心脏病/胸骨下段小切口/微创Key words
congenital heart disease/lower median sternotomy/minimally invasive分类
医药卫生引用本文复制引用
卢中,申运华,严中亚,李春生,李华宝,李建安,王晖,程光存,宋晓蓉..胸骨下段小切口及胸骨正中切口治疗儿童先天性心脏病的对比研究[J].安徽医科大学学报,2015,(6):864-866,867,4.基金项目
安徽省科技攻关项目 （）
