114例微创切口心胸外科手术分析

Summary of clinical experience of 114 case minimally invasive cadiothoracic operations

目的 探讨微创切口在胸心外科手术中的应用。方法 回顾性分析随机选用的 114例心胸外科微创切口手术(微创组 )资料 ,并与同期完成的 15 0例常规手术 (对照组 )相比较。结果 两组在术中出血量、术后疼痛缓解时间、术后引流量、术后主要并发症等方面差异有显著性 (P <0 0 1) ,畸形愈合发生率两组差异无显著性。结论 微创切口进行心胸外科手术具有多方面的优势。

Objective\ To assess the advantage and disadvantage of the minimally invasive operation. Methods\ 114 case randomly sampled were performed cardiac-thoracic operations through minimally incision, the effect versus that of 150 case randomly sampled from the conventional operations in standard posterolateral thoracotomy (SP) and median sternotomy (MS) performed synchronously was assessed. Results\ Compared with the operations through conventional incision, the minimally invasive surgery group had less pain mitigating time, drainage volume post operation, bleeding volume in operation and the percentage of complication, malformed coalescence post operation. The difference is notable (P<0.01). Conclusion\ The minimally invasive operation holds lots of advantages, and may be used extensively clinically.