【摘要】 目的　对电视胸腔镜 (VATS)下心内畸形纠治术的前景作初步评估。方法　 17例VATS下心内畸形纠治术 ,房间隔缺损 (ASD) 13例 ,室间隔缺损 (VSD) 4例 ;年龄 13～ 4 5岁 ,体重 31.5～ 6 0kg与同时期成人先心病常规体外循环 (CPB)病例 16例 (ASD和VSD各 8例 )分为A ,B两组行多参数对比 t检验。结果　年龄 ,体重 ,心胸比例 ,升主动脉阻断时间 ,上腔静脉阻断时间 ,下腔静脉阻断时间 ,术后在ICU带管时间和滞留时间 ,术后到出院时间A、B两组间无差别。而停机后关胸时间、术后主诉伤口疼痛例数 ,镇痛药用量及术后 2 4h胸腔引流量两组间有极显著差异 ,A组显著优于B组。 33例无死亡。结论　VATS心内畸形纠治术是一项较新的技术 ,与传统心脏外科相比已显示其优越性 ,但此技术还有待于进一步研究 ,发展 ,熟练和完善更多还原

【Abstract】 OBJECTIVE To evaluate the prospects of video-assisted thoracoscopic invasive operation on congenital cardiac defect with extracorporeal circulation.METHODS Group A consisted of 17 adult cases of congenital cardiac defect(13 for ASD and 4 for VSD) who underwent VATS invasive operation, group B consisted of 16 adult cases(8 for ASD and 8 for VSD) who underwent traditional open surgical procedure.We used multi-parameter comparsion and T test. RESULTS There was difference in intubation time in ICU,total time in ICU and postoperative hospital stay between group A and B .Statistically,,group A required less closing chest time, less postoperative analgesice,and they had less chest drainage and fewer complaints of pain. CONCLUSION The VATS invasive operation with extracorporeal circulation has been shown to be the superior when compared with the traditional surgical procedure.But, futher improvement and study are necessary.更多还原