| 摘要: |
| ［摘要］ 目的 对比完全胸腔镜与传统开胸手术治疗先天性房间隔缺损(ASD)的效果。方法 ASD修补术患者30例分为心脏跳动下电视胸腔镜组（15例）和传统开胸组（15例）进行手术。比较两组体外循环时间、完成手术时间、术后拔除气管插管时间、术后引流量、住院时间及外科治疗效果。结果 体外循环时间、完成手术时间、术后拔除气管插管时间及外科治疗效果两组比较差异无统计学意义(P>0.05)。电视胸腔镜组引流量、住院时间、术后切口疼痛发生率少于或低于传统开胸组，差异有统计学意义(P<0.05)。结论 胸腔镜具有创伤小、恢复快、疼痛轻等特点，心脏不停跳下完成胸腔镜ASD手术是可行的。 |
| 关键词: 胸腔镜 房间隔缺损 体外循环 |
| DOI：10.3969/j.issn.1674-3806.2013.11.03 |
| 分类号:R 654.2 |
| 基金项目:广西自然科学基金资助项目(编号：桂科自0542117) |
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| Comparison of the clinical effect between video-assisted thoracic surgical technique and conventional thoracotomy on beating heart in repairing atrial septal defect |
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ZHONG Qi-qing,DU Zheng-long,LING Yi
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Department of Cardiothoracic Surgery,Qinzhou City Second People′s Hospital Cardiothoracic Surgery,Guangxi 535000,China
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| Abstract: |
| ［Abstract］ Objective To compare the effect between Totally video-assisted thoracic surgical technique(VATS) and conventional thoracotomy(CT) on beating heart in repairing atrial septal defect(ASD).Methods Thirty patients with atrial septal defect were divided into 2 groups averagely(VATS group and CT group).In the VATS group, the atrial septal defects were repaired with video-assisted thoracic surgical technique and in CT group with conventional thoracotomy. The bypass time, the operative time and the postoperative mechanical ventilation time, chest drainage volume, days of postoperative hospital stay and the effect of surgical procedures were compared beteen two groups.Results Between two groups, there were no differences in the bypass time,the operative time,and the postoperative mechanical ventilation time,and the effect of surgical procedures(P>0.05). However, there were differences in chest drainage volume, days of postoperative hospital stay, postoperative incision pain(P<0.05).The VATS group had a significantly less chest drainage volume, significantly shorter days of postoperative hospital stay.Conclusion VATS has the advantages of shorter chest incision length,shorter time of recovery,less incision pain and so on.The ASD repair under VATS on beating heart was feasible. |
| Key words: Video-assisted thoracic surgical technique(VATS) Atrial septal defect(ASD) Extracorporeal circulation |
