左腋下小切口动脉导管夹闭术100例报告

Surgical Closure of Patent Ductus Arteriosus via Left Subaxiliary Small Incision

目的探讨左腋下小切口动脉导管夹闭术治疗动脉导管未闭（patent ductus arteriosus,PDA）的价值。方法 2004年1月-2011年1月对100例PDA全麻下经左腋下小切口直视下借助Hem-o-lok结扎夹行动脉导管夹闭术。结果切口长度（6.5±1.8）cm,手术时间（56±21）min,术后住院时间（9.7±1.9）d。100例随访2个月-3年,平均2.3年,无再通及假性动脉瘤形成。结论经左腋下小切口动脉导管夹闭术是治疗PDA的有效方法,切口隐蔽,术后恢复快,安全可靠,操作简单,利于推广。

Objective To evaluate the value of surgical closure for patent ductus arteriosus（PDA） through a small left subaxillary incision.Methods From January 2004 to January 2011,100 patients who received Hem-o-lok ligation for PDA were enrolled in this study.Results No perioperative death occurred in this series.The mean length of the small incision was（6.5±1.8）cm,mean opration time（56±21） min,and mean hospital stay（9.7±1.9） days.The patients were followed up for 2 months to 3 years with a mean of 2.3 years,during which no re-patent or pseudo-aneurysma was detected.Conclusion Surgical closure through a small incision at the left subaxillary is safe,effective,and easy-to-perform for PDA with concealed incision and quick recovery.