先天性心脏病的微创治疗

Microtraumatic Treatment for Congenital Heart Disease

目的 总结先天性心脏病的微创治疗经验。方法 自1999年10月至2002年12月,我们采用微创右腋下小切口,在常温体外循环心脏不停跳下行心内直视手术治疗先天性心脏病35例,其中房间隔缺损21例,室间隔缺损12例,法乐氏三联症2例。结果全组无1例死亡,均治愈。结论微创治疗先天性心脏病安全,暴露好,手术失血少,时间短,损伤轻。术后病人痛苦小,恢复快,切口隐蔽,美观。

Objective This article is to review the experience of microtraumatin treatment of congenital heart disease. Methods From October of 1999 to December of 2002,microtraumatic right subaxillary small incision to intracardiac operation under direct vision with normothermic cardiopulmonary bypass without aortic cross-clamping and beating heart was performed on 35 patients including 21 for ostium secundun defect closure, 12 for ventricular septal defect closure,2 for surgical treatment of triad of Fallot. Results There was no operative deaths. Conclusion Microtraumatic treatment for congenital heart disease compared with median sternotomy or other incision appears to be less traumatic,cosmetic alternative and get on excellent operative or clinical results.