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目的对比右胸微创小切口与传统胸部正中切口行左心房粘液瘤切除术治疗左心房粘液瘤的安全性及临床疗效。方法回顾性分析2011年7月至2015年3月吉林大学第二医院心血管外科施行右胸微创小切口左心房粘液瘤切除术32例患者[微创小切口组,男9例,女23例,年龄(59.1±9.5)岁]的临床资料,与同期收治的17例行传统胸部正中切口的左心房粘液瘤患者(对照组,男7例,女10例,年龄(60.0±9.0)岁]对比,比较两组患者临床效果。结果两组患者术前临床资料差异均无统计学意义,所有患者均顺利完成手术。微创小切口组患者主动脉阻断时间较对照组长,而术后机械通气时间(9.5±4.9)h、ICU停留时间(18.6±6.2)h、术后24 h胸腔引流量(103.8±19.4)ml、二次开胸止血率(0.0)、术后输血量(1.4±1.1)U、下地活动时间(38.5±6.9)h、住院时间(8.1±0.9)d、术后并发症发生率(0.0)均少于或短于对照组(P<0.05)。结论采用右胸微创小切口行左心房粘液瘤切除术安全可行,且疗效确切,值得推广。
Objective To compare the safety and clinical efficacy of left-sided atrial myxoma resection with minimally invasive right thoracic incision and traditional median chest incision in the treatment of left atrial myxoma. Methods A retrospective analysis of 32 patients with minimally invasive right atrioventricular myxoma excision in the Department of Cardiovascular Surgery, the Second Hospital of Jilin University from July 2011 to March 2015 [minimally invasive small incision group, 9 males and 23 females (59.1 ± 9.5) years old, and 17 patients with left atrial myxoma who underwent traditional chest incision in the same period (control group, 7 males and 10 females, aged 60.0 ± 9.0 years ], The clinical effects were compared between the two groups.Results There was no significant difference in the preoperative clinical data between the two groups, and all the patients successfully completed the operation.The patients in the minimally invasive small incision group had longer aortic occlusion time than those in the control group (9.5 ± 4.9) h, ICU stay (18.6 ± 6.2) h, chest drainage at 24 h after operation (103.8 ± 19.4) ml, rate of hemostasis after thoracotomy (0.0), volume of postoperative blood transfusion 1.4 ± 1.1) U, activity time (38.5 ± 6.9) h, hospital stay (8.1 ± 0.9) days and postoperative complication rate (0.0) were less than or less than those of the control group (P0.05) Right chest minimally invasive small incision left atrial myxoma resection safe and feasible, and the exact effect, it is worth promoting.