先天性心脏病胸骨小切口心内直视手术25例报告

Clinical observation of mini-sternotomy incision in 25 patients with congenital heart disease undergoing open-heart surgery

目的探讨经前胸正中小切口行先天性心脏病心内直视手术。方法自１９９８年８月至１９９９年１０月，对２５例先天性心脏病患者采用小切口手术（房间隔缺损１０例，室间隔缺损１３例，部分型房室管畸形１例，法乐三联症１例）。结果体外循环时间（４２．２±７． ３）ｍｉｎ，主动脉阻断（２９．４±８． ６）ｍｉｎ，心脏均自动复跳，无并发症及死亡。结论小切口手术入路的优点是安全、显露良、创伤小、并发症少、恢复快、美观等。

Objective To study the mini-incision for congenital heart disease undergoing open-heart surgery. Methods From August, 1998 to October, 1999, 25 patients, 9 men and 16 women, ages ranging from 3-28 years, with ASD on 10 cases, VSD on 13, PAVSD on 1, F3 1, were treated using the mini-sternotomy incision. Results The operations were succesful. CPB and aorta clamp times were (42.2±7. 3), (29±8. 6)min, re spectively. There were not postoperative complications and death. Conclusion The advantages of this lower half mini-sternotomy approach are safe, less-injury, cosmetically appealing and so on.