胸骨下段切口治疗复杂先心病30例

Incision of infrasternum through midline for complex congenital heart disease surgery

本文报告采用胸骨正中下段切口开胸治疗复杂先心病30例。皮肤切口上端平双侧乳头连线,下端达剑突上端,长5～8cm,胸骨上端劈至胸骨角,不横断。结果显示:30例均显露良好,无与切口相关并发症发生。本切口与常规正中开胸相比,切口隐蔽、创伤小、出血量少、开关胸时间短。与右侧开胸术相比,能充分显露右室流出道、肺动脉、左上腔静脉等,并从理论上探讨了治疗复杂先心病的可行性。作者认为,本切口是治疗复杂先心病的一种微创切口,值得推广应用。

30 cases complex congenital heart disease (CCHD) patients were treated by open heart operations that made incision at infrasternum through midline. Skin incision was made between nipple line and prolessus xiphoideus. Which length was 5-8 cm. Sternum was splited from processus xiphoideas to angulus sterni, but it was not traversed. By this methode opera live-field was shown well and no complications occured. Compared to routine anterior midline thoracotomy. This methode has such adventages as wound miner, blood lost litter, time of open-close thoracis shorter. Compared to right lateral thoracotomy. This methode show right ventricular outlet tract, pulmonary and left superior cava vene more completly. Our practice support that this incision is practicable to treat CCHD. We retrieved issued document and did not find similar report. We conclude that this methode is a minimally invasive cardiac surgery for CCHD. It is worthy to be applied widly.