中华胸心血管外科杂志
中華胸心血管外科雜誌
중화흉심혈관외과잡지
Chinese Journal of Thoracic and Cardiovascular Surgery
2012年
4期
209-211
,共3页
王跃军%邓海青%吴根社%凌毅%莫辉胜
王躍軍%鄧海青%吳根社%凌毅%莫輝勝
왕약군%산해청%오근사%릉의%막휘성
室间隔缺损%胸腔镜检查%心脏外科手术%学习曲线
室間隔缺損%胸腔鏡檢查%心髒外科手術%學習麯線
실간격결손%흉강경검사%심장외과수술%학습곡선
Ventricular septal defects%Thoracoscopy%Cardiac surgical procedures%Learning curve
目的 总结全胸腔镜下心脏手术的学习曲线.方法 回顾性收集2004年10月至2010年1月由同一术者连续完成的125例全胸腔镜下房间隔缺损、室间隔缺损修补手术病例资料,按手术先后顺序分为A、B、C、D、E5组,每组25例,从各组手术时间、体外循环时间、主动脉阻断时间、中转开胸率及手术并发症等指标比较手术效果.结果 各组病例年龄、性别、体重、病种及手术方式差异无统计学意义(P＞0.05).手术时间、体外循环时间、主动脉阻断时间3项指标A、B组明显长于C、D、E组(P＜0.05),A、B两组间差异无统计学意义(P＞0.05),C、D、E3组之间差异亦无统计学意义(P＞0.05).各组中转开胸率及手术并发症发生率比较差异均无统计学意义(P＞0.05).结论 全胸腔镜房间隔、室间隔缺损修补术的学习曲线约为50例.
目的 總結全胸腔鏡下心髒手術的學習麯線.方法 迴顧性收集2004年10月至2010年1月由同一術者連續完成的125例全胸腔鏡下房間隔缺損、室間隔缺損脩補手術病例資料,按手術先後順序分為A、B、C、D、E5組,每組25例,從各組手術時間、體外循環時間、主動脈阻斷時間、中轉開胸率及手術併髮癥等指標比較手術效果.結果 各組病例年齡、性彆、體重、病種及手術方式差異無統計學意義(P＞0.05).手術時間、體外循環時間、主動脈阻斷時間3項指標A、B組明顯長于C、D、E組(P＜0.05),A、B兩組間差異無統計學意義(P＞0.05),C、D、E3組之間差異亦無統計學意義(P＞0.05).各組中轉開胸率及手術併髮癥髮生率比較差異均無統計學意義(P＞0.05).結論 全胸腔鏡房間隔、室間隔缺損脩補術的學習麯線約為50例.
목적 총결전흉강경하심장수술적학습곡선.방법 회고성수집2004년10월지2010년1월유동일술자련속완성적125례전흉강경하방간격결손、실간격결손수보수술병례자료,안수술선후순서분위A、B、C、D、E5조,매조25례,종각조수술시간、체외순배시간、주동맥조단시간、중전개흉솔급수술병발증등지표비교수술효과.결과 각조병례년령、성별、체중、병충급수술방식차이무통계학의의(P＞0.05).수술시간、체외순배시간、주동맥조단시간3항지표A、B조명현장우C、D、E조(P＜0.05),A、B량조간차이무통계학의의(P＞0.05),C、D、E3조지간차이역무통계학의의(P＞0.05).각조중전개흉솔급수술병발증발생솔비교차이균무통계학의의(P＞0.05).결론 전흉강경방간격、실간격결손수보술적학습곡선약위50례.
Objective To investigate the learning curve of total thoracoscopicy cardiac surgery.Methods Clinical data of a succession of 125 patients undering total thoracoscopicy ASD and VSD repair between October 2004 to January 2010 were collected and reviewed.The procedure was perfomed by the same surgeon.The patients were divided equally into 5 groups (groupA,B,C,D and E,n =25 in each group ) according to the sequence of the operation.The operative time,extracorporeal circulation time,aortic cross-clamped time,the rate of conversion rate to thoracotomy and postoperative complications were compared between the 5 groups.Results There were no statistically significant differences between the 5 groups with respect to age,gender,weight,dieases and surgical approach(P ＞ 0.05).The operative time,extracorporeal circulation time and aortic clump time in group A and group B significant longer then that in group C,group D and group E(P ＜0.05).Group A and group B was no statistically significant difference each other( P ＞ 0.05 ).Group C,D and E have no statistically significant differences between(P ＞0.05 ).The rate of conversion rate to thoracotomy and postoperative complications in 5 groups have no statistically significant differences comparative( P ＞ 0.05 ).Conclusion The learning curve of total thoracoscopicy surgery is approximalely 50 cases.
