右腋下微创直切口手术矫治先天性心脏病的优势

Effect of Right Axillary Incision Minimally Invasive Direct Surgery on Congenital Heart Disease

目的探讨右腋下微创直切口手术矫治先天性心脏病的优势。方法选取2011年7月—2013年6月我院收治的先天性心脏病患儿56例,均采用右腋下微创直切口手术。结果患儿均顺利完成手术,无死亡病例,无严重并发症发生。患儿手术体外循环时间为(63.4±18.2)min;主动脉阻断时间为(37.6±14.3)min;术后24 h胸腔及心包引流量平均为(70±32)ml;呼吸机辅助时间平均为(10.8±3.2)h;术后住院时间平均为(6.4±2.7)d。结论右腋下微创直切口手术具有损伤小、恢复快、切口隐蔽美观、不破坏胸廓连续性等优点,值得临床推广。

Objective To summarize the experience of right axillary incision minimally invasive direct surgery on con- genital heart disease. Methods 56 patients with congenital heart disease who taken right axillary incision minimally invasive di- rect surgery admitted to our hospital from July 2011 to June 2013 were selected. Results All patients were successfully comple- ted operation, no serious complications and death occurred. The eardiopulmonary bypass time was （ 63.4 ± 18.2） min; aortic clamping time was （37.6 ± 14. 3） rain; after 24 hous, drainage of pleural and perieardial was （70±32） ml; ventilation time was （10. 8 ±3.2） h; hospitalization time was （6.4 ±2. 7） d. Conclusion Right axillary incision minimally invasive direct surgery has little damage, quick recovery, incision hidden, not destroy the continuity of the thorax, being worthy of promotion.