CAJ | 학술논문

目的：比较小儿右腋下小切口与胸骨正中切口行心内直视手术的临床资料，探讨右腋下小切口先心病手术的临床效果。方法我们自2012年12月至2013年12月实施右腋下小切口小儿心内直视手术102例，与同期胸骨正中切口手术主要诊断类似患儿102例比较，进行回顾性分析。结果两组主动脉阻断时间、体外循环时间及手术时间比较，差异无统计学意义（P＞0．05）。呼吸机辅助通气时间、术后24 h引流量以及术后住院时间比较，右腋下小切口优于胸骨正中切口，差异有统计学意义（P＜0．01）。结论采用右腋下小切口能安全有效地完成先心病心内直视手术，治疗效果好，术后恢复快，切口美观。
목적：비교소인우액하소절구여흉골정중절구행심내직시수술적림상자료，탐토우액하소절구선심병수술적림상효과。방법아문자2012년12월지2013년12월실시우액하소절구소인심내직시수술102례，여동기흉골정중절구수술주요진단유사환인102례비교，진행회고성분석。결과량조주동맥조단시간、체외순배시간급수술시간비교，차이무통계학의의（P＞0．05）。호흡궤보조통기시간、술후24 h인류량이급술후주원시간비교，우액하소절구우우흉골정중절구，차이유통계학의의（P＜0．01）。결론채용우액하소절구능안전유효지완성선심병심내직시수술，치료효과호，술후회복쾌，절구미관。
Objetive To compare the clinical data of open heart surgery using the right axillary incision with using median sternotomy incision,to explore the clinical effect of right axillary incision surgery for congeni-tal heart disease. Methods We have performed 102 cases of open heart surgery in the right axillary incision, and in median sternotomy incision respectively.They have similar primary diagnosis at the same period,were retrospectively analyzed since December 2012 to December 2013. Results The aortic clamping time,cardiop-ulmonary bypass time and operation time,the difference was not statistically significant (P>0.05).Mechanical ventilation time,24 h after drainage and postoperative hospital stay compared with right axillary incision superior median sternotomy,the difference was statistically significant (P<0.01).Conclusion The right axillary inci-sion can accomplished congenital heart heart surgery safely and effectively,rapid postoperative recovery,and good incision appearance.