经胸微创封堵术治疗118例婴儿室间隔缺损临床分析

Application of micro- invasive occlusion to treat 118 pediatric patients with ventricular septal defects

目的探讨经胸微创封堵术治疗婴幼儿室间隔缺损的临床疗效。方法回顾性分析我院收治的200例6个月龄以下室间隔缺损患儿的临床资料。根据手术方式分为经胸微创封堵术组（微创组，n=118）和体外循环支持下修补术或经导管介入封堵术组（非微创组，n=82）。比较微创组和非微创组术后住院时间、呼吸机使用时间、术后并发症及死亡情况。结果微创组患儿平均术后住院时间、呼吸机使用时间、并发症发生率及病死率均低于非微创组（P〈0．05或〈0．01）。结论经胸微创封堵术治疗室间隔缺损可减少术后住院时间，有效降低患儿术后并发症和病死率。

Objective To assess the application of micro - invasive occlusion to treat pediatric patients with ventric- ular septal defects （VSD）. Methods A retrospective analysis was performed using clinical data from 200 pediatric pa- tients with VSD under six months. The patients were divided into a micro- invasion group （n = 118） and a non- micro - invasiom group （ n = 82） according to the surgical methods used. Both groups were compared for postoperative hospital stay, the time of breathing machine use, complication and mortality. Results Patients in the micro - invasion group presented shorter postoperative hospital stay and the time of breathing machine use as well as less complication and mor- tality than those in the non - micro - invasion group （ P 〈 0.05 or 〈 0.01 ）. Conclusion Micro - invasive occlusion can shorten postoperative hospital stay and reduce postoperative complication and mortality effectively.