心血管外科杂志（电子版）2016，Vol.5Issue(2)：56-62,7.
右胸小切口与标准胸骨正中切口在心脏瓣膜成形术中的比较研究
Comparative study of right minithoracotomy and standard median sternotomy in the cardiac valve repair surgery
摘要
Abstract
ObjectiveTo evaluate the effects and clinical outcomes of right minithoracotomy (RMT) andstandard median sternotomy (SMS)for mitral valve and tricuspid valve repair.Methods270patients who underwent RMT (n=128) or SMS (n=142) in mitral valve repair and tricuspid valve repair from May 2011 to October 2014 in Wuhan Union Hospital were enrolled in thisretrospective non-randomized control study. The main outcomes such as general situation of operation, postoperative complications and follow-up results were compared.ResultsThe preoperative characteristics were comparable between these two groups and all the surgeries were completed successfully. There wereno statistical differencesin mortality (2dead cases ineach groupfortricuspid valve repair), reoperation of bleeding, acute renal failure and neurological events (allP>0.05). The extracorporealcirculationtimeand aortic clamping in RMT group were longer compared with the SMS group (P<0.05), but ICU stay, postoperative hospitalization time in the RMT group were shorter than those in the SMS group (P<0.05). The SMS group witnessed more blood lossand postoperative mechanical ventilation time (P<0.05). Furthermore, there were no significant differences in the 1-year survival rate and freedom from operation rate (P>0.05).ConclusionCompared withSMS, RMT in the cardiac valve repair demonstrates the same safety, feasibility, efficiency and early outcomes, with fewer hospitalization time, more rapid recovery and good cosmetic results, which is expected to be a routine alternative for some patients.关键词
心脏瓣膜假体植入/外科手术,微创性/右胸微创切口Key words
Heart valve prosthesis implantation/Surgical procedures, minimally invasive/Right minithoracotomy分类
医药卫生引用本文复制引用
王怡轩,陈思,刘金平,刘隽炜..右胸小切口与标准胸骨正中切口在心脏瓣膜成形术中的比较研究[J].心血管外科杂志（电子版）,2016,5(2):56-62,7.基金项目
国家自然科学基金青年科学基金 （）
