[1]窦云轲,刘子罡,黄保堂,等.小切口全胸骨切开心脏手术38例报告[J].中国微创外科杂志,2006,06(7):486-487.
　Dou Yunke,Liu Zigang,Huang Baotang,et al.Full sternotomy through m inimal incision for cardiac surgery: A report of 38 cases[J].Chinese Journal of Minimally Invasive Surgery,2006,06(7):486-487.
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小切口全胸骨切开心脏手术38例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年7期
页码:
486-487
栏目:
出版日期:
2006-07-20

文章信息/Info

Title:
Full sternotomy through m inimal incision for cardiac surgery: A report of 38 cases　
作者:
窦云轲; 刘子罡; 黄保堂; 李潺溪; 于晋; 庄敏彦
桂林市人民医院胸心血管外科,桂林,541002
Author(s):
Dou Yunke;  Liu Zigang;  Huang Baotang; et al.
Department of Cardiothoracic VascularSurgery, Guilin People’s Hospital, Guilin 541002, China
关键词:
心脏外科手术; 小切口; 胸骨
Keywords:
Cardiac surgery; 　Minimal skin incision; 　Sternum
分类号:
R654.2
文献标志码:
A
摘要:
目的总结38例小切口全胸骨切开心脏手术的经验. 方法 2004年6月～2005年12月,我们采用皮肤小切口,自剑突上缘1～2 cm起,向上长7～10 cm止于第3肋,全胸骨切开行择期心脏手术38例. 结果 38例手术均获成功.总手术时间175～359 min,平均84 min;引流量110～760 ml,中位数380 ml;术后住院7～32 d,平均10 d.术后早期并发症3例,其中1例心律失常,2例发热,均治愈;无开胸止血,切口感染等其他并发症,切口愈合良好.38例随访3～18个月,平均9个月,症状改善,左心室射血分数0.45～0.73,平均0.62. 结论小切口全胸骨切开心脏手术安全,创伤小,无须特殊器械,操作简单,可获得良好的手术效果.
Abstract:
Objective　To summarize the clinical experience of 38 cases of cardiac surgery with full sternotomy through minimal skin incision.　M ethods　A totalof38 cases of selective cardiac surgerywere performed from June 2004 toDecember2005. The operationwas conducted under full sternotomy through a skinmini-incision.　Results　The operationwas successfully completed in all the 38 cases. The total operation timewas 175~359 min (mean, 84 min), the drainage volumewas 110~760 ml (median, 380 ml), and the postoperatine hospital stay, 7~32 d (mean, 10 d). Postoperative short-term complications included 1 case of arrhythmia and 2 cases of pyrexia, all ofwhich were cured. No thoracotomy for hemostasis was required. The incision healed by first intention without infection or separation.Follow-up examinations for3~18 months (mean, 9 months) in 38 cases showed significat improrement of symptoms.The left ventricular ejection fraction after operation was 0·45~0·73 (mean, 0·62).　Conclusions　Full sternotomy through minimal skin incision for cardiac surgery is safe and micro-traumatic. This procedure provides advantages of simplicity of performance, no need of special surgical instruments, and good cosmetic outcomes.

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更新日期/Last Update: 2014-02-13