食管超声引导下经胸微创外科封堵治疗先天性心脏病研究

目的探讨外科微创封堵治疗先天性心脏病的临床效果。方法 48例先天性心脏病患者,其中房间隔缺损17例,室间隔缺损27例,动脉导管未闭4例,均行微创外科封堵手术,其中15例行胸骨正中切口手术,33例患者行侧切口入路手术,观察手术治疗效果。结果 48例患者均成功实施微创外科封堵手术;手术时间50-110min,安置封堵器时间16-48min,术后呼吸机辅助时间2-8.5h,ICU停留时间8-40h,术后住院时间2-7d;48例患者均痊愈出院,术后1、3、6个月与1a随访行超声心动图检查显示48例患者封堵器位置均良好,未见残余分流及血栓形成。结论外科封堵治疗先天性心脏病安全可靠,效果良好,侧切口入路进行外科封堵手术适合于部分先天性心脏病的治疗。

Transesophageal echocardiography guided surgical minimally invasive occlusion operation for congenital heart disease

Objective To explore the clinical effect of surgical minimally invasive occlusion operation for congenital heart disease.Methods Forty-eight patients with congenital heart disease included 17 patients with atrial septal defects,27 patients with ventricular septal defect,and 4patients with patent ductus arteriosus.All patients received surgical minimally invasive occlusion operation,in which 15 patients received sternal midline incision operation,and 33 patients received lateral surgical incision operation.The operation outcome was observed.Results The operation was successfully performed in all 48 patients,lasting for 50 to 110min.The settlement of occluder was finished in 16 to 48min.The ventilator was used for 2to 8.5hours.The patients stayed in ICU for 8to 40 hours,and the postoperative hospitalization stay was 2to 7days.All patients survived and were discharged.The 3-,6-and 12-month postoperative echocardiography found no occluder dislocation,no residual shunt or postoperative thrombosis.Conclusion Surgical occlusion operation is safe,reliable and effective for congenital heart disease.Lateral incision approach in surgical occlusion operation is suitable for partial congenital heart disease.