【摘要】 目的 总结右腋下微创直切口用于先天性心脏病矫治的经验。方法 回顾性分析2010年3月至2013年6月间,采用右腋下微创直切口实施的先天性心脏病矫治121例,其中房间隔缺损(ASD)31例,室间隔缺损(VSD)82例(所有VSD均为膜部或膜周部),ASD合并VSD3例,部分型心内膜垫缺损(PECD)1例,ASD合并部分型肺静脉畸形引流(PAPVC)2例,ASD合并肺动脉瓣狭窄2例。结果全组手术顺利,无死亡,无严重并发症发生,无房室传导阻滞,无二次开胸止血术。体外循环时间(78±18)min,主动脉阻断时间(44.0±12.0)min,引流量(275±135)ml,术后呼吸机辅助呼吸3.0~9.5 h,术后住院时间(6.8±1.4)d。出院时测量手术切口长4.3~6.5 cn。结论 右腋下微创直切口剖胸具有损伤小、恢复快、切口隐蔽美观、不破坏胸廓连续性等优点,值得临床推广。更多还原

【Abstract】 Objective To summarize the experience of right subaxillary mini-thoracotomy in the treatment of congenital heart disease.Methods A total of 121 patients with congenital heart disease received right subaxillary mini-thoracotomy approach correction under cardiopulmonary bypass between July 2010 and June 2013.The cardiac defects includes 31 atrial septal defect(ASD),82 ventricular septal defect(VSD),3 combined ASD and VSD,2ASD combined with PAVC,2 ASD combined with PS and 1 PECD.Results All the operations were successfully performed with good exposure.There were no operative death and complications.The cardiopulmonary bypass time was(78±18)min,the cross-clamp time was(44.0±12.0)min,the drainage volume was(275±135)ml.The post operative average mechanical ventilation time was 3.0-9.5 hour.The average of the postoperative hospital stay was(6.8±1.4)days.Conclusion Open heart surgery with the right subaxillary mini-thoracotomy is minimally invasive,safe and easily performed.Patients are satisfied with quick recovery and excellent cosmetic effect.更多还原