微创右侧胸部切口房室间隔缺损修补术治疗房室间隔缺损的效果探究

Study on the effect of minimally invasive right thoracic incision for atrioventricular septal defect repair in the treatment of atrioventricular septal defect

目的 :探究用微创右侧胸部切口房室间隔缺损修补术治疗房室间隔缺损的临床效果。方法 :选取2017年6月至11月期间成都心血管医院收治的82例房室间隔缺损患者作为研究对象。按照随机分组法将其分为观察组(n=41)和对照组(n=41)。为对照组患者采用常规的开胸房室间隔缺损修补术进行治疗,为观察组患者采用微创右侧胸部切口房室间隔缺损修补术进行治疗。然后对比两组患者术后进行机械通气的时间、入住重症监护室的时间、胸部切口的长度、术后疼痛症状的评分、对切口美观效果的满意率和术后并发症的发生率。结果 :观察组患者术后进行机械通气的时间、入住重症监护室的时间、胸部切口的长度均短于对照组患者,其术后疼痛症状的评分低于对照组患者,P <0.05。观察组患者对切口美观效果的满意率高于对照组患者,P <0.05。观察组患者术后并发症的发生率低于对照组患者,P <0.05。结论 :用微创右侧胸部切口房室间隔缺损修补术治疗房室间隔缺损具有患者术后进行机械通气的时间和入住重症监护室的时间较短、切口的美观度较好、术后疼痛症状轻、安全性高等优点。

objective: to explore the clinical effect of atrioventricular septal defect repair with minimally invasive right thoracic incision in the treatment of atrioventricular septal defect. Methods: 82 patients with atrioventricular septal defect admitted to chengdu cardiovascular hospital from June to November 2017 were selected as subjects. They were divided into observation group(n=41) and control group(n=41) according to the random grouping method. The patients in the control group were treated with conventional open atrioventricular septal defect repair, and the patients in the observation group were treated with minimally invasive right thoracic incision atrioventricular septal defect repair. Then, the time of postoperative mechanical ventilation, the time of admission to the intensive care unit, the length of chest incision, the score of postoperative pain symptoms, the satisfaction rate of aesthetic effect of incision and the incidence of postoperative complications were compared between the two groups. Results: the duration of postoperative mechanical ventilation, the duration of admission to the icu, and the length of chest incision in the observation group were all shorter than those in the control group, and the score of postoperative pain symptoms was lower than that in the control group(P <0.05). The satisfaction rate of patients in the observation group was higher than that in the control group, P < 0.05. The incidence of postoperative complications in the observation group was lower than that in the control group, P < 0.05. Conclusion: the minimally invasive right thoracic incision for the treatment of atrioventricular septal defect has the advantages of shorter postoperative mechanical ventilation time, shorter stay in the intensive care unit, better incision aesthetics, less postoperative pain and higher safety.