CAJ | 학술논문

目的探讨全胸腔镜下实施二尖瓣手术的临床疗效及安全性.方法随机选取2013年1月至2013年12年的全胸腔镜下二尖瓣手术患者80例为观察组,常规经典开胸行二尖瓣手术80例为对照组,比较两组患者的手术时间、体外循环时间、术中出血量、呼吸机辅助时间、平均监护时间、胸腔引流量、住院时间及术后并发症等.结果两组患者手术时间和体外循环时间比较差异无统计学意义(P＞0.05),术中出血量、呼吸机辅助时间、平均监护时间、胸腔引流量、术后并发症及住院时间等比较差异均有统计学意义(P＜0.05).结论全胸腔镜下实施二尖瓣手术具有疗效好、创伤小、术后易恢复、安全可靠等优点.
목적 탐토전흉강경하실시이첨판수술적림상료효급안전성.방법 수궤선취2013년1월지2013년12년적전흉강경하이첨판수술환자80례위관찰조,상규경전개흉행이첨판수술80례위대조조,비교량조환자적수술시간、체외순배시간、술중출혈량、호흡궤보조시간、평균감호시간、흉강인류량、주원시간급술후병발증등.결과 량조환자수술시간화체외순배시간비교차이무통계학의의(P＞0.05),술중출혈량、호흡궤보조시간、평균감호시간、흉강인류량、술후병발증급주원시간등비교차이균유통계학의의(P＜0.05).결론 전흉강경하실시이첨판수술구유료효호、창상소、술후역회복、안전가고등우점.
Objective To analyze the clinical efficacy and safety of mitral valve operation under total thoracoscope.Methods 80 patients undergoing mitral valve operation under total thoracoscope from January to December 2013 were randomly selected as an observation group,while other 80 patients undergoing routine classical mitral valve replacement at the same period were selected as a control group.The operation times,the intraoperative bleeding volumes,the mechanical ventilation times,the mean monitoring times,the amount of thoracic cavity drainages,the hospitalization times,and postoperative complications of the two groups were compared.Results There were no statistical differences in operation time and mechanical ventilation time (P＞0.05) but were statistical differences in intraoperative bleeding volume,mean monitoring time,the amount of thoracic cavity drainage,postoperative complications,and hospitalization time (P ＜ 0.05) between the two groups.Conclusions Mitral valve operation under total thoracoscope have the virtues of good efficacy,less trauma,fast postoperative recovery,considerable safety and reliability,etc..