全胸腔镜下与右侧开胸小切口房间隔缺损修补术的比较研究

摘要

目的：比较全胸腔镜下与右侧开胸小切口房间隔缺损修补术的治疗效果。方法成人房间隔缺损患者随机分为全胸腔镜组（28例）和右侧开胸小切口组（22例）。结果两组均无死亡。全胸腔镜组与右侧开胸小切口组体外循环时间分别为（125±41）min和（55±8）min（P＜0.05）；升主动脉阻闭时间分别为（34±16）min和（19±5）min（P＜0.05）；术后呼吸机辅助时间分别为（6.4±1.6）h和（6.8±1.7） h（P＞0.05）；术后胸液引流量分别为（102±20）mL和（133±28）mL（P＞0.05），术后住院时间分别为（5.9±1.15）d和（5.8±2.1） d（P＞0.05）。结论早期行全胸腔镜下房间隔缺损修补术较侧开胸小切口手术操作时间稍长，但患者术后恢复无差异。%Objective To compare the effects of total thoracoscopic cardiac surgery and mini-thoracotomy cardiac surgery in atrial septal defect. Methods Fifty congenital heart disease patients with atrial septal defect were randomLy divided into two groups:total thoracoscopy group (28 cases) and mini-thoracotomy group(22 cases). Results There was no death in two groups. The durations of extracorporeal circulation, crossclamped time in total thoracoscopy group and mini-thoracotomy group were(125±41)min vs (55±8)min(P<0.05), (34±16)min vs (19±5)min(P<0.05), respectively. The durations of ventilation were(6.4±1.6)h vs(6.8±1.7)h(P>0.05).The volume of drainage was(102±20)mL vs(133±28)mL(P>0.05), and hospital stay was(5.9±1.15)d vs(5.8±2.1)d(P>0.05). Conclusion Total thoracoscopic cardiac surgery in the treatment of atrial septal defect take longer time than mini-thoracotomy cardiac surgery. No difference between the two groupsin postoperative recovery.