右外侧小切口与胸骨正中切口治疗小儿先天性心脏病的对比研究

发布时间：2018-05-02 17:01

本文选题：小儿先天性心脏病 + 右外侧小切口　；参考：《广西医科大学》2015年硕士论文

【摘要】：目的比较右外侧小切口与胸骨正中切口治疗小儿先天性心脏病的临床效果。方法回顾性分析2013年11月一2014年12月广西医科大学第一附属医院心脏外科19例右外侧小切口心内畸形矫治术(微创组)和62例传统正中切口心内畸形矫治术(传统组)的病例资料。结果两组病例在手术时间、体外循环转流时间、主动脉阻断时间、机械通气时间、ICU监护时间、术后引流量及术后住院时间比较,差异无统计学意义(P值0.05)；止痛剂使用次数及切口长度比较,差异有统计学意义(P值0.05)。术后病例均无死亡,右外侧小切口组复跳时安装临时起搏器1例,传统正中切口组术后安装临时起搏器2例,术后良好复律。结论右外侧小切口可以安全有效的替代某些正中开胸矫治小儿简单的先天性心脏畸形,手术切口相对隐蔽且创伤小,不破坏胸骨完整连续性,术后疼痛减轻,值得推广应用。
[Abstract]:Objective to compare the clinical effect of right lateral small incision and sternum median incision in the treatment of children with congenital heart disease. Methods from November 2013 to December 2014, 19 cases of intracardiac malformation correction with right lateral small incision and 62 cases with traditional median incision were retrospectively analyzed in the cardiac surgery department of the first affiliated Hospital of Guangxi Medical University. Case data of the United Nations. Results the operative time, cardiopulmonary bypass time, aortic occlusion time, mechanical ventilation time and ICU monitoring time, postoperative drainage volume and postoperative hospitalization time were compared between the two groups. The difference was not statistically significant (P = 0.05), but there was a significant difference in the number of times of use of painkillers and the length of incision. There was no death after operation. Temporary pacemaker was installed in the right lateral small incision group (1 case) and in the traditional median incision group (2 cases). Conclusion the right lateral small incision is a safe and effective alternative to some median thoracotomy for the correction of simple congenital heart malformation in children. The surgical incision is relatively subtle and less traumatic, does not destroy the complete continuity of the sternum, and the postoperative pain is alleviated. It is worth popularizing and applying.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R726.5

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