右侧腋下小切口直视手术治疗小儿先天性心脏病临床应用研究.docVIP

右侧腋下小切口直视手术治疗小儿先天性心脏病临床应用研究 　　[摘要] 目的 探?右侧腋下小切口直视手术治疗小儿先天性心脏病的临床应用价值。 方法 方便选取2013年7月―2017年4月该院收治的先天性心脏病患儿98例为研究对象，随机分为观察组和对照组，每组49例，对观察组患儿实施右侧腋下小切口直视手术治疗，对照组实施胸骨正中切口手术治疗，记录两组手术时间、体外循环时间、胸腔引流量、输血量、术后呼吸机辅助通气时间、术后监护时间、主动脉阻断时间、术后住院时间，并进行比较。结果 两组98例患者均顺利完成手术，未出现手术死亡，两组手术时间分别为（149±19.5）min和（161±20.8）min、体外循环时间分别为（65.2±11.4）min和（67.1±12.0）min、主动脉阻断时间分别为（28.9±6.4）min和（30.2±7.6）min，组间均差异无统计学意义（P?0.05），观察组胸腔引流量（91.5±22.3）mL、输血量（53.7±18.8）mL、术后呼吸机辅助通气时间（9.8±2.3）h、术后监护时间（32.1±11.5）h、术后住院时间（8.6±2.1）d，对照组上述几项数据分别为（179.6±31.8）mL、（143.2±21.3）mL、（12.1±3.5）h、（40.2±18.2）h、（10.4±2.7）d，观察组均明显小于对照组，且差异有统计学意义（P?0.05）。 结论 右侧腋下小切口直视手术治疗小儿先天性心脏病具有创伤小、切口隐蔽、术后恢复快等优点。 　　[关键词] 先天性心脏病；右侧腋下小切口；手术治疗 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0022-03 　　[Abstract] Objective This paper tries to investigate the clinical value of right subaxillary small incision open surgery in the treatment of congenital heart disease in children. Methods 98 cases of children with congenital heart disease from July 2013 to April 2017 in this hospital were convenient selected as the research objects and were randomly divided into the observation group and the control group， with 49 cases in each group， the observation group was implemented with the right subaxillary small incision surgery treatment， and the control group received median sternotomy incision surgery， the operation time， extracorporeal circulation time， chest drainage volume， blood transfusion volume， postoperative mechanical ventilation time， postoperative monitoring time， aortic clamping time， postoperative hospitalization time of two groups were recorded and compared. Results 98 patients in the two group successfully completed surgery， no surgical death， the operation time of the two groups was respectively （149±19.5）min and （161±20.8）min， extracorporeal circulation time was respectively （65.2±11.4）min and （67.1±12.0）min， aortic clamping time was （28.9±6.4）min and （30.2±7.6） min， with no statistically significant difference between the two