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目的:总结2～6个月婴儿经右侧开胸室间隔缺损(VSD)修补手术的结果,探讨小切口手术在婴儿手术应用的适应证、禁忌证及技术关键点。方法:2011年1月至9月完成2～6个月小婴儿经右侧开胸VSD修补手术108例,男性67例,女性41例。平均年龄4.56个月(2～6个月),平均体质量6.37 kg(3.8～9 kg)。VSD分型,膜周部81例,嵴下型8例,干下型19例,心内膜垫型1例,多发VSD 1例。与同期同年龄段经正中开胸40例,7～12个月右侧开胸78例室缺修补手术过程及效果进行比较。结果:本组手术无死亡,术后并发症较少。结论:右侧开胸可以在多数2～6个月婴儿室缺修补术中应用。少数具有一定特殊性的病例,可以选择传统的正中开胸方式。
OBJECTIVE: To summarize the results of 2 ~ 6 months old infants undergoing repair of right thoracic ventricular septal defect (VSD) and to explore the indications, contraindications and technical key points of small incision operation in infant operation. Methods: From January to September 2011, 108 infants undergoing right thoracotomy for VSD repair were completed in 2 to 6 months old, 67 males and 41 females. The mean age was 4.56 months (range 2-6 months) with an average body weight of 6.37 kg (3.8-9 kg). There were 81 cases of VSD, 8 cases of subclavian, 19 cases of dry type, 1 case of endocardial cushion and 1 case of multiple VSD. With the same age in the same period through the middle of the thoracotomy in 40 cases, 7 to 12 months on the right side of the open chest 78 cases of defect repair surgery and the results were compared. Results: There were no deaths in this group and fewer postoperative complications. Conclusion: The right thoracotomy can be used in the majority of infants aged 2 to 6 months. A small number of cases with a certain specificity, you can choose the traditional method of the median chest.