Ailiyaer·Keyimu,Aliyaguli·Abudoureyimu,Wu Zukai,et al.Analysis of theraperutic effects of different surgicul metheods for patent ductus arteriosus[J].Journal of Clinical Pediatric Surgery,,():173-177.[doi:10.3760/cma.j.cn101785-202209055-014]
Analysis of theraperutic effects of different surgicul metheods for patent ductus arteriosus
- Keywords:
- Ductus Arteriosus; Patent; Surgical Procedures; Operative; Treatment Outcome
- Abstract:
- Objective To explore the efficacy of traditional ligation of patent ductus arteriosus (PDA) through left posterolateral incision,video-assisted thoracoscopic closure of PDA and modified ligation of PDA through axillary small incision.Methods From February 2018 to December 2020,clinical data were retrospectively reviewed for 119 PDA children.According to different surgical approaches,they were divided into three groups of A,B and C.Group A underwent traditional ligation of PDA through left posterolateral incision,group B video-assisted thoracoscopic closure of PDA and group C modified axillary small incision ligation of PDA.Operative duration,volume of blood loss,incision length,postoperative closed chest drainage volume,ICU retention time,closed chest drainage removal time,postoperative hospitalization stay and incidence of complications were recorded.Results There were 16 boys and 25 girls in group A,19 boys and 18 girls in group B and 17 boys and 24 girls in group C.Among groups A,B and C,no statistical differences existed in operative duration (112.20±26.41,104.51±18.59,114.39±33.28 min) or complications (9,10,2)(P>0.05):volume of blood loss (18.12±13.69,11.73±9.15,10.68±7.08 ml),incision length (8.98±0.94,4.05±0.48,2.38±0.31 cm),volume of closed chest drainage (109.76±37.18,69.05±23.95),removal time of closed chest drainage (4.66±2.67、3.24±0.93 day).No closed chest irrigation in group c.Tracheal intubation time (7.68±1.77,6.81±2.38,5.66±1.51 h),ICU retention time (42.78±21.62,39.94±14.48,29.39±12.94 h),postoperative hospitalization stay (6.17±1.80,5.54±1.92,4.56±0.92 day),FLACC score (facial expression,legs,activity,cry & consolability) T1 (6.63±0.70,5.97±0.93,4.73±1.03),T2 (5.66±0.83,5.19±0.81,3.20±0.98),T3 (5.07±0.75,4.51±0.84,2.83±1.09).Group B was less than group A and group C less than group B.The differences were statistically significant (P<0.05).Conclusions Small axillary incision ligation of PDA is preferred due to minimal trauma,quicker recovery,excellent cosmetics and fewer complications.
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Memo
收稿日期:2022-9-30。
基金项目:2021年自治区科技计划项目(2021D01C329)
通讯作者:张国明,Email: 406765929@qq.com