左腋下直切口在动脉导管未闭结扎术中的应用(附248例报告)

目的：总结微创伤动脉导管未闭（ＰＤＡ）结扎术的经验。方法：从１９８９ 年４月～１９９９ 年６ 月采用左腋下直切口手术结扎ＰＤＡ ２４８ 例。平均年龄１３．３ 岁。结果：全组无手术死亡，术后不输血，不置胸腔引流管，术后平均住院时间４．２ｄ。结论：该方法安全、省时，创伤小、恢复快、简化护理、不影响美观。但外科医生应熟练掌握手术技巧及适应症。

Using A Vertical Left Axillary Minithoractomy for Ligation of Patent Ductus Arteriosus(Review of 248 cases)

Objective:Analysis the experiences of ligation of patent ductus arteriosus(PDA)with a small in cision.Method:From April 1989 to June 1999,248 patients suffered from PDA were undergone the ligation with a vertical left mini thoractomy.The average age was 13.3 years old.Results:There was no operative mortality,no postoperative blood transfusion and thoracic drainage needed as before.The postoperative hospital stay was 4.2 days.Conclusion:This technique is safe,effective and can save time,simplify nursing,promote recovery quickly because of only with minimal injury,and not affect one’s good looking.But the surgeon need to master the surgical in dications and become skillful earnestly.