经胸径路手术治疗小儿膈疝９例
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目的 探讨经胸径路手术治疗小儿膈疝的临床效果。 方法 总结２０１０年８月至２０１６ 年１０月本院收治的９例经胸径路手术治疗的膈疝患儿临床资料。 结果 ９例患儿中，左侧８例，右侧１例，均采用经胸径路完成手术。手术时间（８５．５±１９．１）ｍｉｎ；术中出血量（５．１±０．３）ｍＬ，术后留置胸
腔引流管（８．６±０．５）ｄ，平均住院时间（１８．２±３．０）ｄ。所有患儿随访１～１２个月，均恢复良好，Ｘ线片无异常，无一例复发。 结论 经胸径路手术治疗小儿膈疝，术中可获得满意的手术视野和操作空间，便于处理合并胸腔内畸形等较复杂ＣＤＨ患儿，膈肌修补确切牢靠，对腹腔干扰小，且术后恢复时间较短， 复发率低。结合相关辅助治疗手段，更有助于降低ＣＤＨ患儿病死率，提高患儿生活质量。
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