CAJ | 학술논문

目的：比较分析在治疗常见先天性心脏病（房间隔缺损、室间隔缺损）手术中右前胸小切口与传统正中切口的优缺点。方法回顾性分析实施房间隔缺损修补术及室间隔缺损修补术患者的术前准备、手术方式选择、术后处理，分析选择不同手术切口的依据。结果两种切口所代表的手术方式各有不可替代的优势，亦有不可遮掩的劣势。结论需根据患者具体情况，选用合适的手术方式。
목적：비교분석재치료상견선천성심장병（방간격결손、실간격결손）수술중우전흉소절구여전통정중절구적우결점。방법회고성분석실시방간격결손수보술급실간격결손수보술환자적술전준비、수술방식선택、술후처리，분석선택불동수술절구적의거。결과량충절구소대표적수술방식각유불가체대적우세，역유불가차엄적열세。결론수근거환자구체정황，선용합괄적수술방식。
ObjectiveTo analysis the advantages and disadvantages of the right anterolateral thoractomy and conventional incision in common congenital heart diseases operation(mainly in the treatments of atrial septal defect and ventricular septal defect), in order to provide some references for the cardiac surgery practices. Methods80 cases of atrial septal defect and ventricular septal defect treatment from January 2012 to April 2013 are collected. Preoperative preparation,operation modes,postoperative treatments in all the cases will be analysized in order to summarize the rules of incisions selection in different cases.ResultsThe two operation methods standed for these two kinds of incisions,have their irreplaceable superiorities,as well as inferiorities.ConclusionCardiac surgeons need to choose suitable operation mode according to the specific condition of patients.