CAJ | 학술논문

目的：对比完全胸腔镜与传统开胸手术治疗先天性房间隔缺损（ ASD）的效果。方法 ASD修补术患者30例分为心脏跳动下电视胸腔镜组（15例）和传统开胸组（15例）进行手术。比较两组体外循环时间、完成手术时间、术后拔除气管插管时间、术后引流量、住院时间及外科治疗效果。结果体外循环时间、完成手术时间、术后拔除气管插管时间及外科治疗效果两组比较差异无统计学意义（ P＞0.05）。电视胸腔镜组引流量、住院时间、术后切口疼痛发生率少于或低于传统开胸组，差异有统计学意义（ P＜0.05）。结论胸腔镜具有创伤小、恢复快、疼痛轻等特点，心脏不停跳下完成胸腔镜ASD手术是可行的。
목적：대비완전흉강경여전통개흉수술치료선천성방간격결손（ ASD）적효과。방법 ASD수보술환자30례분위심장도동하전시흉강경조（15례）화전통개흉조（15례）진행수술。비교량조체외순배시간、완성수술시간、술후발제기관삽관시간、술후인류량、주원시간급외과치료효과。결과체외순배시간、완성수술시간、술후발제기관삽관시간급외과치료효과량조비교차이무통계학의의（ P＞0.05）。전시흉강경조인류량、주원시간、술후절구동통발생솔소우혹저우전통개흉조，차이유통계학의의（ P＜0.05）。결론흉강경구유창상소、회복쾌、동통경등특점，심장불정도하완성흉강경ASD수술시가행적。
Objective To compare the effect between Totally video-assisted thoracic surgical technique (VATS) and conventional thoracotomy ( CT) on beating heart in repairing atrial septal defect ( ASD).Methods Thirty patients with atrial septal defect were divided into 2 groups averagely ( VATS group and CT group ) .In the VATS group, the atrial septal defects were repaired with video-assisted thoracic surgical technique and in CT group with conventional thoracotomy .The bypass time , the operative time and the postoperative mechanical ventilation time, chest drainage volume , days of postoperative hospital stay and the effect of surgical procedures were compared beteen two groups .Results Between two groups , there were no differences in the bypass time ,the operative time ,and the postoperative mechanical ventilation time ,and the effect of surgical procedures ( P>0.05 ) .However , there were differences in chest drainage volume , days of postoperative hospital stay , postoperative incision pain ( P<0.05 ) .The VATS group had a significantly less chest drainage volume , significantly shorter days of postoperative hospital stay . Conclusion VATS has the advantages of shorter chest incision length ,shorter time of recovery ,less incision pain and so on.The ASD repair under VATS on beating heart was feasible .