微创切口在心内直视手术中的应用

目的 介绍右腋下和胸骨下段小切口在心内直观手术中的应用体会。方法 选择先天性心脏病患者15例，其中膜周部室缺4例、房间隔缺损6例采用右腋下切口，三尖瓣关闭不全、部分心内膜垫缺损、房间隔缺损各1例和室间隔缺损2例，经胸骨下段小切口行心内直视矫治术。结果 除右腋下切口发生一过性右下肺不张3例外，无其它并发症和死亡。结论 微创切口进行心内直视手术是安全的，创伤小，美观。

Application of microtraumatic incision to intracardiac operation under direct vision

Objective To introduce experience of application of right subaxillary and infrasternal small incisions to intracardiac operation under direct vision. Methods 15 cases with congenital heart disease were chosen. 4 cases with ventricular septal defect (membranous septum) and 6 cases with atrial septal defect underwent right subaxillary incision. Each one case with tricuspid insufficiency, partial endocardial cushions defect and atrial septal defect and 2 cases with ventricular septal defect underwent infrasternal small incision to be intracardiacly corrected under direct vision. Results No other complications and death occurred except 3 cases who underwent right subanxillary incision were complicated with transient right low atelectasis. Conclusion Microtraumatic incision is safe for intracardiac operation under direct vision besides its injury is less and its cosmetic effect is perfect.