单孔胸腔镜下房间隔缺损封堵术13例分析.docVIP

精品论文 参考文献 单孔胸腔镜下房间隔缺损封堵术13例分析 李奎1 张郁林2 三峡大学人民医院amp;宜昌市第一人民医院 湖北宜昌 443000 【摘 要】目的：探讨单孔胸腔镜下封堵器房间隔缺损封堵术的可行性及其疗效。方法：选取我院2013年6月至2015年1月单孔胸腔镜房缺封堵术患者13例，所有患者经胸及食管心脏超声确诊房间隔缺损，适合胸腔镜封堵术。全麻气管插管，右侧腋前线第4肋间切口2cm进胸，胸腔镜下封堵器房间隔缺损封堵术。结果：13例均顺利完成手术，无大出血、二次开胸等并发症。术后3个月复查心脏彩超均未发现残余漏，切口瘢痕小，无胸部疼痛。结论：单孔胸腔镜下封堵器房间隔缺损封堵术，技术安全、可行，疗效确切，又具有创伤小、伤口美观、术后恢复快、疼痛轻微，是一种先进的微创心脏外科技术。 【关键词】单孔胸腔镜手术；房间隔缺损；封堵术；微创 Occlusion of Atrial Septal Defect Via single-port video-assisted thoracoscopy：Analyse of 13 Cases Likui，Zhang Yulin Department of Cardiothoracic Surgery，Renmin Hospital of Three Gorges University amp; The First Peoples Hospital of Yichang，Yichang，Hubei，443000 【Abstract】Objective：To explore the feasibility and therapeutic effect of atrial septal defect（ASD）occlusion with occluder by single-port video-assisted thoracoscopy .Methods：13 patients with ASD were examined by transthoracic echocardiography and transesophageal echocardiography from June 2013 to January 2015 in our hospital. All of them were anaesthetized，by right axillary front between the fourth floor incision（2cm） ways，ASD occlusion with occluder by thoracoscopy.Results：All the operations were completed successfully，no intraoperative bleeding and secondary thoracotomy，and other severe complications.After 3 months，postoperative course was uneventfu1.Conclusion：single-port video -assisted Thoracoscopic surgery for ASD occlusion with occluder is safety and feasibility，and has a definite therapeutic effect. And also reduces the wounds，recovers quickly，gets a cosmetic requirement，relieves pain.It is an advanced and minimal invasive technique in the cardiovascular surgeries. 【Key words】Single-port Video-assisted Thoracoscopic surgery （single-port VATS）；Atrial septal defect（ASD）；Occlusion；Minimal invasive 【中图分类号】R561【文献标识码】A【文章编号】2096-0867（2016）-03-021-02 近年来，微创心脏外科技术逐渐兴起并引起广泛关注。2013年6月至2015年1月我们将单孔胸腔镜技术应用到房间隔缺损封堵术中，13例患者，术后恢复良好，无严重并发症发生，现报道如下。 1 资料与方法 1.1 临床资料 本组13例，男5例，女8例。年龄（43.5plusmn;8.2）岁（15～65岁），其中4例年