微创外科治疗先天性心脏病

Minimally invasive surgical technique for the treatment of congenital heart disease

目的 :本文通过介绍微创外科治疗先天性心脏病的经验 ,讨论微创外科在先天性心脏病治疗领域的优点及前景。方法 :本组 2 9例患者 ,单纯房间隔缺损 2 0例 ,室间隔缺损 8例 ,左房粘液瘤 1例。其中经介入行 Amplatzer封堵器治疗房间隔缺损 6例 ,余均在体外循环非停跳下通过右腋下直切口治愈。结果 :全组病例无死亡 ,Am platzer封堵器治疗及手术均获得成功 ,术后 2 d～ 8d出院。结论 :微创外科治疗某些先天性心脏病可以达到创伤小、恢复快、美容等完全修复的效果。

Objective By introducing the experience in the treatment of congenital heart disease,we discuss the advantage and future of minimally invasive surgical technique.Method 29 patiens were analyzed.20 patients had atrial septal defect,8 ventricular septal defect,1left atrial myxoma.Among all patients,6patients underwent amplatzer occluder closure and the others underwent right subaxillary thoracotomy with cardiopulmonary bypass non-arrest.There were no operative death and complication and all operations were successfully performed.Conclusion Minimally invasive surgical technique appears to be a minimally invasive,safe and cosmetic alterative for congenital heart disease.