微小切口结扎动脉导管未闭(附13例报告)

Microinvasive ligation of patent ductus arteriosus: Report of 13 cases

目的 :探讨左腋下微小切口结扎动脉导管未闭 (PDA)的临床应用。方法 :本组对 13例小儿 PDA应用左腋下微小直切口结扎术 ,切口以第 4肋间上下延长共约 5 cm进胸后常规行 PDA结扎术。结果 :全组术野显露良好 ,术中经过顺利 ,术后并发症少 ,无死亡。结论 :左腋下微小切直切口手术径路隐蔽美观 ,效果满意 ,特别适合小儿 PDA结扎 ,值得临床推广。

Objective: To study the significance of patent ductus arteriosus(PDA)ligating through microinvasive vertical cut trans-left oxter.Methods:Thirteen children with PDA received ligation through microinvasive vertical cut trans-left oxter.Which was thoracotomy through a 5 cm cut in fourth intercostal space followed by rutine PDA ligating.Results:All operations got good exposure and smooth completion.Patients hadless complications and no death. Conclusion:Microinvasive vertical cut trans-left oxter with occult apparence and satisfactory result is particularly suitable for ligation of children with PDA.