[1]）刘瑞生 邢旺 孙伟 杨大鹏 李元敏 宋兵*.经胸小切口封堵术治疗粗大动脉导管未闭[J].中国微创外科杂志,2015,15(9):843-845.
　Liu Ruisheng,Xing Wang,Sun Wei,et al.Transthoracic Minimally Invasive Occlusion for Large Patent Ductus ArteriosusLiu Ruisheng, Xing Wang, Sun Wei, et al. Department of Cardiovascular Surgery, First Hospital of Lanzhou University, Lanzhou 730000, China[J].Chinese Journal of Minimally Invasive Surgery,2015,15(9):843-845.
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经胸小切口封堵术治疗粗大动脉导管未闭()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年9期
页码:
843-845
栏目:
经验交流
出版日期:
2015-09-20

文章信息/Info

Title:
Transthoracic Minimally Invasive Occlusion for Large Patent Ductus ArteriosusLiu Ruisheng, Xing Wang, Sun Wei, et al. Department of Cardiovascular Surgery, First Hospital of Lanzhou University, Lanzhou 730000, China
作者:
）刘瑞生 邢旺 孙伟 杨大鹏 李元敏 宋兵*
（兰州大学第一医院心血管外科，兰州730000）
Author(s):
Liu Ruisheng;  Xing Wang;  Sun Wei;  et al.
Department of Cardiovascular Surgery, First Hospital of Lanzhou University, Lanzhou 730000, China
关键词:
经胸小切口; 封堵术; 动脉导管未闭
Keywords:
Transthoracic minimally invasive; Occlusion; Patent ductus arteriosus
分类号:
R654.2
文献标志码:
B
摘要:
目的探讨经胸小切口封堵术治疗粗大动脉导管未闭（patent ductus arteriosus，PDA）的临床效果。方法2013年3月~2014年12月，对13例直径≥10 mm的动脉导管未闭患者行经胸小切口封堵术，经左侧胸骨旁第2肋间2~3 cm切口进胸，在食道超声引导下，用PDA封堵器行动脉导管封堵术。结果全组均封堵成功，无死亡，无术后封堵器脱落，无左肺动脉狭窄。手术时间（48.7±8.5）min，术后（4.9±2.3）h脱离呼吸机，（9.3±1.9）d出院，术中、术后均未输血，无溶血发生。随访3~9个月，平均6个月，未见封堵伞移位，无残余漏、心内膜炎。结论经胸小切口封堵术具有操作简单、微创、术后恢复快、疗效满意等特点，是治疗粗大动脉导管未闭的理想方法。
Abstract:
ObjectiveTo analysis the clinical effect of transthoracic minimally invasive closure for large patent ductus arteriosus.MethodsFrom March 2013 to December 2014, 13 cases of patent ductus arteriosus (PDA) with a diameter ≥ 10 mm received transthoracic minimally invasive occlusion under transesophageal ultrasound guidance. The operation was performed via a left parasternal incision (length,2-3 cm) through the second intercostal under the general anesthesia.ResultsAll the patients were successfully occluded. No death or occluder detachment occurred after operation. The mean operation time was (48.7±8.5) min, the mechanical ventilation time was (4.9±2.3) hours after operation, and the duration of hospital stay was (9.3±1.9) days. During the operation and postoperation, no blood transfusion was required and no hemolysis occurred. During the followup visits for 3-9 months (mean, 6 months), no occluder dislocation, leakage or endocarditis occurred.ConclusionThe transthoracic minimally invasive occlusion for large patent ductus arteriosus is simple, minimally invasive, effective and convenient.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：兰州市科技局社会事业发展支持行动计划项目（2008-1-81）*通讯作者，Email：abcsong@sina.com
更新日期/Last Update: 2016-01-04