临床小儿外科杂志2024，Vol.23Issue(2)：173-177,5.DOI:10.3760/cma.j.cn101785-202209055-014
不同手术方式治疗动脉导管未闭的疗效分析
Analysis of theraperutic effects of different surgicul metheods for patent ductus arteriosus
摘要
Abstract
Objective To explore the efficacy of traditional ligation of patent ductus arteriosus(PDA)through left posterolateral incision,video-assisted thoracoscopic closure of PDA and modified ligation of PDA through axillary small incision.Methods From February 2018 to December 2020,clinical data were retrospec-tively reviewed for 119 PDA children.According to different surgical approaches,they were divided into three groups of A,B and C.Group A underwent traditional ligation of PDA through left posterolateral incision,group B video-assisted thoracoscopic closure of PDA and group C modified axillary small incision ligation of PDA.Oper-ative duration,volume of blood loss,incision length,postoperative closed chest drainage volume,ICU retention time,closed chest drainage removal time,postoperative hospitalization stay and incidence of complications were recorded.Results There were 16 boys and 25 girls in group A,19 boys and 18 girls in group B and 17 boys and 24 girls in group C.Among groups A,B and C,no statistical differences existed in operative duration(112.20± 26.41,104.51±18.59,114.39±33.28 min)or complications(9,10,2)(P＞0.05):volume of blood loss(18.12±13.69,11.73±9.15,10.68±7.08 ml),incision length(8.98±0.94,4.05±0.48,2.38±0.31 cm),volume of closed chest drainage(109.76±37.18,69.05±23.95),removal time of closed chest drainage(4.66 ±2.67、3.24±0.93 day).No closed chest irrigation in group c.Tracheal intubation time(7.68±1.77,6.81± 2.38,5.66±1.51 h),ICU retention time(42.78±21.62,39.94±14.48,29.39±12.94 h),postoperative hos-pitalization stay(6.17±1.80,5.54±1.92,4.56±0.92 day),FLACC score(facial expression,legs,activity,cry& consolability)T1(6.63±0.70,5.97±0.93,4.73±1.03),T2(5.66±0.83,5.19±0.81,3.20±0.98),T3(5.07±0.75,4.51±0.84,2.83±1.09).Group B was less than group A and group C less than group B.The differences were statistically significant(P＜0.05).Conclusions Small axillary incision ligation of PDA is pre-ferred due to minimal trauma,quicker recovery,excellent cosmetics and fewer complications.关键词
动脉导管未闭/外科手术/治疗结果Key words
Ductus Arteriosus,Patent/Surgical Procedures,Operative/Treatment Outcome引用本文复制引用
艾力亚尔·克依木,阿里亚古丽·阿不都热依木,吴祖凯,米热合麦提·麦麦提祖农,牟巧羽,何丽芸,张国明..不同手术方式治疗动脉导管未闭的疗效分析[J].临床小儿外科杂志,2024,23(2):173-177,5.基金项目
2021年自治区科技计划项目(2021D01C329)Autonomous Region Science & Technology Program in 2021(2021D01C329) （2021D01C329）
