检验医学与临床Issue(8)：1095-1096,2.DOI:10.3969/j.issn.1672-9455.2015.08.026
右腋下小切口与胸骨正中切口治疗儿童简单先天性心脏病的对比研究
Comparative clinical study of right subaxillary vertical minithoracotomy vs median sternotomy for treatment of uncom-plicated congenital heart defects in children
严曼榕 1李福平 1李志平 1沈诚 1胡义杰 1陈建明 1钟前进1
作者信息
- 1. 第三军医大学大坪医院野战外科研究所心血管外科，重庆 400042
- 折叠
摘要
Abstract
Objective The study by comparing the right subaxillary vertical minithoracotomy and median ster‐notomy incision ,to explore the pros and cons and evaluate the surgical path ,in order to further improve clinical out‐comes .Methods Retrospective assessment of clinical parameters and procedural outcomes in patients who underwent cardiac operation under direct vision ,108 patients through the right subaxillary vertical minithoracotomy under car‐diopulmonary bypass and 108 patients through the midline sternotomy .Results Two groups of patients in the opera‐tive time ,CPB time and postoperative hospital stay was no significant difference(P>0 .05) .The volume of postopera‐tive drainage in postoperative drainage sternotomy group significantly is more than those in the right axillary incision group .postoperative ventilator assisted ventilation time、intensive care unit residence time and postoperative hospital stay in median sternotomy incision group are more than those in right axillary incision group ,there are a statistically significant(P<0 .05) .Conclusion The right subaxillary vertical minithoracotomy is a safe and effective alter native to a median sternotomy for correction of cardiac defects .Advantages of this approach include less injury ,less bleed‐ing ,maintaining the continuity and the integrity of the bony thorax ,and preventing postoperative pigeon breast .The cosmetic result is superior to that of median sternotomy .关键词
右腋下/正中切口/儿童/简单先天性心脏病Key words
right subaxillary vertical/median sternotomy/children/uncomplicated congenital heart de-fects引用本文复制引用
严曼榕,李福平,李志平,沈诚,胡义杰,陈建明,钟前进..右腋下小切口与胸骨正中切口治疗儿童简单先天性心脏病的对比研究[J].检验医学与临床,2015,(8):1095-1096,2.
