Repair of ventricular septal defect through subaxillary minithoractomy

XIANG Xiaoyong; et al

doi:10.13406/j.cnki.cyxb.2005.01.045

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Repair of ventricular septal defect through subaxillary minithoractomy

更新时间：2024-01-17

- Repair of ventricular septal defect through subaxillary minithoractomy
- Journal of Chongqing Medical University Issue 1, Pages: 146-147(2005)
- 作者机构：
  
  1. 重庆医科大学临床学院心胸外科
  2. 重庆医科大学临床学院心胸外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.01.045
  CLC： R654.2
- Published：2005，
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[1]向小勇,蒋迎九,李朝先,杨双强,李强,汪斌.室间隔缺损微创心内修复术[J].重庆医科大学学报,2005(01):146-147.

XIANG Xiaoyong, et al. Repair of ventricular septal defect through subaxillary minithoractomy. [J]. Journal of Chongqing Medical University (1):146-147(2005)
[1]向小勇,蒋迎九,李朝先,杨双强,李强,汪斌.室间隔缺损微创心内修复术[J].重庆医科大学学报,2005(01):146-147. DOI： 10.13406/j.cnki.cyxb.2005.01.045.

XIANG Xiaoyong, et al. Repair of ventricular septal defect through subaxillary minithoractomy. [J]. Journal of Chongqing Medical University (1):146-147(2005) DOI： 10.13406/j.cnki.cyxb.2005.01.045.

摘要

目的总结经腋下直切口行室间隔缺损修补的临床应用经验

并与正中切口室间隔缺损修补对照

初步评价其临床效果。方法通过右腋下直切口

在心脏跳动中对26例室间隔缺损进行修补。其中男19例

女7例

平均年龄7.1岁

均为膜部及围膜部室缺

直径0.4～0.8cm。结果26例患者均顺利完成手术。切口长5～10cm

体外循环时间21～42min。术后6～10天均顺利出院

无并发症及死亡。其手术时间

切口长度

术后胸腔引流量

术后住院天数等与正中切口组比较差异有显著性。结论经腋下小切口修补室间隔缺损

手术创伤小、切口隐蔽、术后恢复快。

Abstract

Objective:To introduce the clinical experiences of repairing ventricular septal defect through right subaxillary minithoracotomy and to evaluate it’s clinical effect.Methods:46 cases of VSD were repaired through right subaxillary minithoracotomy.The sizes of the defects varied from 0.4～0.8cm in diameter and all of them were membranous or conventricular defects.The average age was 7.1 ys.Results:There was no operative death or complication.The lenth of incision varied from 5～10cm.Cardiopulmonary bypass time were 21～42 minutes.Postoperative hospitalized time were 6 to 10 days.Conclusion:Repairing of ventricular septal defect through subaxillary minithoracotomy have the advantages of minimal trauma

hidden incision and quicker recovery.

关键词

微创伤室间隔缺损体外循环

Keywords

Minimal traumaVSDCPB

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