胸壁打孔电视胸腔镜体外循环下室缺修补47例

CARDIOPULMONARY BYPASS WITH THORACOSCOPIC CARDIAC SURGERY IN CLOSURE OF VENTRICULAR SEPTAL DEFECT FOR 47 CASES

目的 :总结 4 7例胸壁打空电视胸腔镜辅助下室间隔缺损修补的体外循环 (CPB)方法和可行性。方法 :分析 4 7例室间隔缺损患者在胸腔镜下行室缺修补病例并与随机抽取的同期 4 7例常规方法修补室缺病例进行比较。结果 :胸腔镜组患者CPB时间平均 (89.6± 2 7.4 )min ,升主动脉阻断时间平均 (37.9± 15 .3)min ,3例患者产生血红蛋白尿。 2例患者因术后残余漏而再次CPB下手术 ,其他患者手术顺利 ,术后无并发症并痊愈出院 ;常规组CPB时间平均 (6 9.2± 19.6 )min ,升主动脉阻断时间平均 (2 6 .7± 11.3)min ,2例患者产生血红蛋白尿 ,患者手术均顺利。二组转流时间和主动脉阻闭时间相比较差别明显 (P <0 .0 5 )。结论 :初期胸壁打空电视胸腔镜体外循环下行室间隔缺损修补术的体外循环时间和主动脉阻闭时间较常规方法延长 ,但其手术方法安全可靠。

Objective:To summarize the method of cardiopulmonary bypass (CPB) to repair ventricular septal defect with thoracoscopic.Methods:To analyze forty-seven patients were operation by video-assisted thoracoscopic, and compare with conventional sternotomy patients.Results:In thoracoscopic group, cardiopulmonary perfusion and cross-clamp time for 47 patients were ( 89.6± 27.4 ) min, ( 37.9 ± 15.3 ) min, three patients produced hemoglobin, two patients were made the CPB again, because of remnant drip, the other operations were successfully and no complications. In conventional group, cardiopulmonary perfusion and cross-clamp time for 47 patients were ( 89.6 ± 27.4 )min,( 37.9 ± 15.3 )min, all operations were successfully. There were obviously difference between two groups for cardiopulmonary perfusion and cross-clamp time ( P < 0.05). Conclusion: In the initial of thoracoscopic operation, the cardiopulmonary perfusion and cross-clamp time for all 47 patients were longer than conventional sternotomy patients, but it was safety and dependable with thoracoscopic to repair ventricular septal defect underwent CPB.