右腋下小切口在儿童心内手术中的应用
- 文献标志码:
- A
- 摘要:
- 目的介绍右腋下小切口在儿童心内手术中的应用经验。方法应用右腋下小切口实施心内直视手术62例,其中房间隔缺损 (ASD) 25例,室间隔缺损 (VSD) 37例,包括室间隔缺损合并房间隔缺损(VSD+ASD)2例。结果全组无手术死亡,术后出现右肺不张2例,右膈神经麻痹1例,少量胸腔积液1例,均经对症治疗后痊愈。所有患儿随访2年,无残余漏及其他并发症发生,患儿均恢复良好。结论应用右腋下小切口治疗儿童常见的先天性心脏病安全性高,失血少,创伤小,恢复快,切口隐蔽美观,值得临床推广。
参考文献/References:
1李晓峰,李仲智.先天性心脏病分子发病机制研究进展\[J\].中华小儿外科杂志,20074(28)211—212.2苏肇伉.先天性心脏病微创手术的发展趋势\[J\].中国胸心血管外科临床杂志, 2005,12 (4) : 229—231.3刘建新,洪潮,金龙玉,等.68例微创切口小儿心内直视手术经验\[J\].临床小儿外科杂志,2002,1(1):51—53.4张凤伟,吴树明,王伟,等.右侧剖胸与正中剖胸对小儿心脏手术后肺功能影响的比较\[J\].中华小儿外科杂志,2005,12(26):621—623.5舒龙,张凯伦,童峰,等.婴幼儿右胸微创切口先天性心脏病心内直视手术\[J\].临床小儿外科杂志,2005,2(4):135—136.6Yang XB,Wang DJ,Wu QY.Repair of atrial septal defect through a minimal right vertical infraaxillary thoracotomy in a beating heart\[J\].A nn Thorac Surg, 2001,71 (6) : 2053—2054 .
相似文献/References:
[1]杜朝峻,丁力,胡英超,等.手术治疗婴幼儿法洛四联症83例[J].临床小儿外科杂志,2010,9(06):413.
DU Chao jun,DING Li,HU Ying chao,et al.Surgical treatment of Tetralogy of Fallot in infancy: Experiences of 83 cases.[J].Journal of Clinical Pediatric Surgery,2010,9(06):413.
[2]李勇,尹强,周小渔,等.术中胆道造影在先天性胆总管囊肿手术中的应用[J].临床小儿外科杂志,2010,9(06):430.
LI Yong,YIN Qiang,ZHOU Xiao yu,et al.The clinic application experience on intraoperative cholangiography in pediatric surgery.[J].Journal of Clinical Pediatric Surgery,2010,9(06):430.
[3]许芝林,王强,李琰,等.乙状结肠冗长症的术式选择探讨[J].临床小儿外科杂志,2010,9(06):432.
XU Zhi lin,WANG Qiang,LI Yan,et al.Initiatory exploration of the standard of surgical treatment methods for Dolichosigmoid.[J].Journal of Clinical Pediatric Surgery,2010,9(06):432.
[4]胡明,施诚仁,严志龙.脐环小切口治疗婴幼儿腹盆腔疾病的探讨[J].临床小儿外科杂志,2010,9(06):471.
[5]丁勇,魏华,孔燕,等.横裁包皮岛状皮瓣法在尿道下裂治疗中的应用[J].临床小儿外科杂志,2010,9(06):474.
[6]江峰赵阳孙莲萍金惠明马杰.婴幼儿阻塞性脑积水两种手术方式的疗效比较[J].临床小儿外科杂志,2011,10(01):0.
JIANG Feng,ZHAO Yang,SUN Liang ping,et al.Endoscopic third ventricul ostomy versus ventricul operitoneal shunt:clinical study of obstructive hydro cephalus in infants.[J].Journal of Clinical Pediatric Surgery,2011,10(06):0.
[7]王伟程少文彭磊林忠勤张伟陈庆玉寇冬权.弹性髓内钉在儿童肱骨骨折中的应用[J].临床小儿外科杂志,2011,10(01):0.
WANG Wei,CHENG Shaowen,PENG Lei,et al.Application of elastic intramedullary nailing in pediatric humeral fractures.[J].Journal of Clinical Pediatric Surgery,2011,10(06):0.
[8]景登攀张根领孙蔓丽.改良Snodgrass术治疗尿道下裂疗效观察[J].临床小儿外科杂志,2011,10(01):0.
[9]丁晋阳 莫绪明 顾海涛 孙剑 彭卫 戚继荣 沈立 束亚琴 钱龙宝. 延迟关胸技术在婴儿复杂危重先心病手术中的应用[J].临床小儿外科杂志,2011,10(02):98.
DING Jin yang,MO Xu ming,GU Hai tao,et al. Delayed Sternal Closure following operations for complex and severe congenital heart disease in infant[J].Journal of Clinical Pediatric Surgery,2011,10(06):98.
[10]陈快 黄金狮 戴康临 陶俊峰 赖勇强 陶强. 腹腔镜与开腹Ladd手术治疗新生儿肠旋转不良效果比较[J].临床小儿外科杂志,2011,10(02):128.
[J].Journal of Clinical Pediatric Surgery,2011,10(06):128.
[11]谢学良,明腾,邹勇,等.肺动脉瓣窦扩大在婴幼儿法洛四联症保留肺动脉瓣纠治术中的应用研究[J].临床小儿外科杂志,2017,16(05):469.
[12]任璐璐,沈立.微创手术治疗儿童先天性心脏病的应用进展[J].临床小儿外科杂志,2020,19(10):943.[doi:10.3969/j.issn.1671-6353.2020.10.016]
Ren Lulu,Shen Li.Recent advances of mini-invasive pediatric cardiac surgery[J].Journal of Clinical Pediatric Surgery,2020,19(06):943.[doi:10.3969/j.issn.1671-6353.2020.10.016]
备注/Memo
Email:ycchw80@qq.com