【摘要】 目的探讨胸骨下段小切口在心脏直视手术中的应用。方法对296例心脏病患者采用胸骨下段小切口,保持胸骨柄完整性,在停跳或不停跳下完成心脏直视手术,其中先天性心脏病250例,风湿性心脏病40例,左房粘液瘤5例,冠心病1例。结果全组患者成功施行胸骨下段小切口心脏直视手术,没有死亡及后遗症。结论胸骨下段小切口适用于大多数心脏直视手术,有良好的手术和美容效果,但不适合于部分心脏复杂畸形及巨大心脏的手术矫治。更多还原

【Abstract】 Objective To explore the application of cardiac operation under direct vision through Lower median ministernotomy,and to search the new methods to improve the orthodox cardiac operation under direct vision.Methods The method of the cardiac operation under direct vision through lower median ministernotomy was used to 296 cases with heart disease who needed cardiac surgery,including 250 cases with congenital heart disease,40 cases with rheumatic heart disease,5 cases with left atrial myxom and 1 case with coronary heart disease.Results All cases performed the cardiac operation under direct vision through lower Median ministernotomy successfully without death and any residual.Conclusion The cardiac operation under direct vision through lower median ministernotomy can be used in majority cardiac operation under direct vision,it has well surgical and cosmetic result,but cannot be used in treating some patients with complex cardiac deformity or large heart.更多还原