论文部分内容阅读
目的探讨右腋下小直切口行先天性室(房)间隔缺损封堵术的可行性和安全性。方法回顾性分析2015年1~8月在我院行室(房)间隔缺损封堵术患者38例的临床资料,其中男22例、女16例,年龄(10.3±5.2)个月,体重(8.2±3.5)kg。结果 34例(89.5%)患者经右腋下小直切口封堵成功,术中失血量(19.5±13.4)ml,封堵手术时间(58.4±28.5)min。有4例(10.5%)室间隔缺损患者,因主动脉瓣脱垂,封堵未成功,改为全身麻醉体外循环下直视修补。术中未发生其他严重不良事件。术后拔管时间(3.9±1.6)h,术后ICU留置时间(1.8±0.8)d,住院时间(3.2±0.5)d。所有患者均顺利出院。结论经右腋下切口行先天性室(房)间隔缺损封堵术是一种可行、有效、微创、安全的治疗方法,其早期随访结果良好。
Objective To investigate the feasibility and safety of the right axillary small straight incision in congenital ventricular septal defect occlusion. Methods The clinical data of 38 patients with ventricular septal defect closure in our hospital from January to August 2015 were retrospectively analyzed. There were 22 males and 16 females, aged (10.3 ± 5.2) months and body weight 8.2 ± 3.5) kg. Results In 34 patients (89.5%), the right small incision was successfully occluded. The blood loss was (19.5 ± 13.4) ml and the time of closure operation was (58.4 ± 28.5) min. In 4 cases (10.5%) of patients with ventricular septal defect due to aortic valve prolapse, the closure was unsuccessful, instead of under direct anesthesia under cardiopulmonary bypass repair. No other serious adverse events during surgery. The time of extubation was (3.9 ± 1.6) h, ICU indwelling time (1.8 ± 0.8) d and hospital stay (3.2 ± 0.5) d. All patients were discharged smoothly. Conclusions Transcatheter closure of congenital ventricular septal defect with right axillary incision is a feasible, effective, minimally invasive and safe method of treatment. The results of early follow-up are good.