医学全在线
医学全在线首页-开云app安装不了怎么办 -药师-护士-卫生资格-高级职称-考试题库-网校-考研-图谱-下载-招聘  
分类
国家级省级浙江省各省杂志
科技核心北大核心CSCDCSCD扩展
工具
期刊知识写作指导 论文投稿推荐期刊
期刊验证论文检测 录用通知往期目录
SCI
SCI指导影响因子
期刊点评基金动态
其它
经济教育计算机
建筑体育农业
北京|天津|河北|山西|湖北|江苏|安徽|山东|上海|浙江|江西|福建|湖南|宁夏|内蒙古|河南
四川|重庆|贵州|云南|辽宁|吉林|广东|广西|海南|陕西|甘肃|新疆|青海|卫生部直属|黑龙江|兵团
您现在的位置: 医学全在线 > 医学论文 > 论文投稿 > 正文:医学免费论文:三种手术入径治疗房间隔缺损的体外循环对比研究
    

医学免费论文:三种手术入径治疗房间隔缺损的体外循环对比研究

来源:本站原创 更新:2013-10-12 论文投稿平台

医学免费论文:三种手术入径治疗房间隔缺损的体外循环对比研究

【摘要】  目的 对比不停跳下房间隔缺损三种手术入径的体外循环(CPB)建立与管理。方法 59例房间隔缺损患者分别采用:胸壁打孔全胸腔镜(15例)、右腋下小切口(19例)及胸骨正中切口(25例)三种术式完成,胸腔镜组采用股动、静脉插管建立CPB;右液下小切口采用升主动脉、直角腔静脉插管建立CPB;正中切口采取常规插管方法建立CPB。结果 手术过程顺利,均痊愈出院。胸腔镜组与胸骨正中切口组比较,输血量、引流量、术后住院天数均显著降低(P<0.05),其CPB时间、手术时间也有差别,但无统计学意义。右腋下小切口组与胸骨正中切口组比较,胸廓畸形、创伤、输血量、引流量有显著性差异(P<0.05),其术后住院天数也有差别,但无统计学意义。 结论 不停跳下房间隔缺损修补术三种手术入径均是安全、可行的,微创小切口更优于胸骨正中切口,CPB建立方法虽有所不同,但其管理并无明显差异。

【关键词】  体外循环;房间隔缺损;胸腔镜;右腋下小切口

Comparison of Management of Cardiopulmonary Bypass inThree procedures for repairing Atrial Septal Defect

MA Li-juan,LI Ye,CHEN Hou-kun医.学.全.在.线www.lindalemus.com

(Department of Thoracic and Cadiovascular Surgery,the Forth Affiliated Hospital of

Harbin Medical University,Heilongjiang Haerbin150001,China)

Abstract: OBJECTIVE To compare the method and management of cardiopulmonary bypass by three operative approaches with open beating heart surgery for repairing atrial septal defect. METHODS 59 patients were treated with three different operative approaches:15 patients underwent thoracoscopy;19 patients underwent right axillary minithoracotomy and 25 patients underwent median sternotomy operation. The thoracoscopy operation group used femoral artery and vein cannulation to establish CPB; Right arillary minithoracotomy group used ascending aorta and right angle vena cava cannulation to establish CPB; Median sternotomy group used regular cannulation to establish CPB. RESULTS Operations were successful and all patients recovered well.Comparing to median sternotomy, the thoracoscopy operation group has advantages including minithoracotomy, no need to wound sternum, less hemorrhage and drainage, and shorter hospitalization days(P<0.05).There were also differences in bypass time and operation time,but no statistic difference;there were differences in trauma,chest malformation,hemorrhage,drainage between right arillary minithoracotomy and regular median sternotomy (P<0.05),but no statistic difference in hospitalization days. CONCLUSION Though the ways of cardiopulmonary bypass by three operative approaches with open beating heart surgery were different, the management of cardiopulmonary bypass was no significant difference. The three operative approaches were all safe and technically feasible but minimal invasive approach was better than median sternotomy.

Key words: Cardiopulmonary bypass;Atrial septal defect;Thoracosopy;right arillary minithoracotomy

2007年1月至2009年7月,我院对59例房间隔缺损(atral septal defect,ASD)患者经胸壁打孔全胸腔镜、右腋下小切口和胸骨正中切口三种不同手术入径,在体外循环(cardiopulmonary bypass,CPB)心脏不停跳下完成了缺损修补术。


[1] [2] [3] [4] 下一页

...
关于我们 - 联系我们 -版权申明 -诚聘英才 - 网站地图 - 网络课程 - 帮助
医学全在线 版权所有© CopyRight 2006-2046,
浙ICP备12017320号
百度大联盟认证绿色会员实名网站 360认证可信网站 中网验证
Baidu
map