左腋下横行小切口在动脉导管未闭治疗中的应用

Application of left axillary small incision in surgical treatment of ductus arteriosus via

目的评价动脉导管未闭(PDA)患者经左腋下横行小切口动脉导管未闭结扎术或切断缝合术的临床应用价值。方法从左腋下第4肋间背阔肌前缘向前平行肋间做长4～6cm的切口逐层切开达肋间肌,沿第5肋骨上缘进胸,用肋骨牵开器缓慢牵开,47例采用结扎术,9例采用切断缝合术。结果全组病例均治愈出院,手术切口结扎术者长4～6cm,切断缝合者长5～7cm。讨论经左腋下横行小切口动脉导管未闭结扎术或切断缝合术,切口美观隐蔽,显露良好,疗效显著,且经济、安全,有推广价值。

Objective To summary the 56 cases of patent with ductus arteriosus patients treated with left axillary small incisiont.Methods We made long 4~6cm incision to enter the chest from the 4th intercostal space in the front of latissimus dorsi and pull the intercostal space slowly with rib retractor,47 cases with ligation,9 cases with suturing transected.Results All cases cured and left hospital,the length of incision was 4~6cm with ligation,and 5~7cm with suturing transected.Conclusion The incision is artistic hiding and discover well with left axillary small incision.The treatment is safe,economical and effectiv.