胸骨正中小切口在心脏瓣膜手术中的应用

目的探讨胸骨正中小切口在心脏瓣膜手术中应用的安全性和优点。方法在2000年8月至2006年10月间，50例风湿性心脏病患者，在常规体外循环下行瓣膜置换手术。其中二尖瓣置换术30例，主动脉瓣置换术20例。分别采用胸骨正中上段或下段部分胸骨劈开切口。切口长7田cm。结果本组无围术期死亡。术后恢复快，无严重并发症，术后纵隔引流量少，输血量少，无切口感染、裂开。手术效果满意。结论胸骨正中小切口可安全用于心脏瓣膜手术，具有创伤小、胸骨完整性破坏小、疗效好及美观效果。

The use of limited sternotomy for heart valvar surgery

Objective To review the experiences of using limited sternotomy for heart valvar surgery. Methods From 2000 August to 2006 October, 50 patients with rheumatic heart disease received heart valvar surgery under cardiopulmonary bypass through limited sternotomy, which including Mitral valve replacement in 30, Aortic valve replacement in 20. The incision is 7-9 cm long. Results There was no death perioperatively and no serious complication, few amount of drainage and transfusion postoperatively. The patients recovered quickly and had no wound dehiscence. Conclusion The limited sternotomy can be used safely in open heart valvar surgery. It has less surgical trauma, stable sternum and satisfactory, reform results.