微创心内直视手术122例报告

REPORT OF 122 CASES OF MINIMALLY INVASIVE OPEN HEART SURGERY

目的 探讨微创心内直视手术的治疗效果。方法 采用右胸外侧小切口、第四肋间入胸行二尖瓣替换，房、室间隔缺损修补，冠状动脉瘘矫治等手术。结果 全组无手术死亡，无重大并发症。术后胸腔引流液平均１２０ｍｌ，９９ 例未输异体库血及血浆。术后平均住院１０ ．４ｄ ，１０５ 例随访５ ～２６ 个月，无并发症及远期死亡，均恢复正常学习及生活。结论 经右胸外侧小切口施行的微创心内直视手术，具有创伤轻、失血少、切口美观、术后恢复快等优点。

Objective To discuss the therapeutic effectiveness of minimally invasive open heart surgery.Methods Mitral valve replacement,atrioventricular septal defect repair and coronary arteriovenous fistula orthosis were performed via a right lateral thoracic small incision through the 4th intercostal space.Results In our series,there were no operative or later mortalities and no major complications.The average thoracic drainage fluid was 120ml and there was no transfused heterogeneous banked blood or plasma in 99 cases.The average postoperative hospitalization was 10.4 days and a follow-up survey of 5-26 months for 105 cases showed no complications and late death with all the patients returning to normal life.Conclusion Minimally invasive open heart surgery via a right lateral thoracic small incision has such advantages as minimal invasiveness,less blood loss,neat incisional appearance and quick postoperative recovery.