CAJ | 학술논문

目的：探究导管介入手术与外科手术治疗动脉导管未闭的疗效。方法选取2013年2月～2014年2月在我院已经被确诊的动脉导管未闭患者70例作为研究对象，依据治疗方式不同分为实验组和对照组，对照组患者接受导管介入封堵手术，实验组患者接受外科手术，术后分析两组患者的各项临床指标。结果对照组患者术后完全封堵率100%与实验组97.1%的完全封堵率之间的差异无统计学意义（P＞0.05）；但是对照组的并发症发生率、住院时间及住院费用均明显低于实验组患者，两组患者的上述数据之间的差异具有统计学意义（P＜0.05）。结论相比于导管介入封堵术，外科手术治疗导管未闭具有并发症低、效果好、安全等优点，值得在今后的临床治疗中继续推广使用。
목적：탐구도관개입수술여외과수술치료동맥도관미폐적료효。방법선취2013년2월～2014년2월재아원이경피학진적동맥도관미폐환자70례작위연구대상，의거치료방식불동분위실험조화대조조，대조조환자접수도관개입봉도수술，실험조환자접수외과수술，술후분석량조환자적각항림상지표。결과대조조환자술후완전봉도솔100%여실험조97.1%적완전봉도솔지간적차이무통계학의의（P＞0.05）；단시대조조적병발증발생솔、주원시간급주원비용균명현저우실험조환자，량조환자적상술수거지간적차이구유통계학의의（P＜0.05）。결론상비우도관개입봉도술，외과수술치료도관미폐구유병발증저、효과호、안전등우점，치득재금후적림상치료중계속추엄사용。
Objective To explore the clinical effect of interventional operation and surgical operation treatment of patent ductus arteriosus.Methods Select cases of patent ductus arteriosus diagnosed patients as the research object in our hospital, the patients were divided into the experimental group and the control group, the control group patients received transcatheter closure operation, patients in the experimental group received surgical operation, heart function in the patients of the two groups of postoperative changes.Results The control group of patients after the difference between the fully complete closure plugging rate and the rate of the experimental group was not significant(P>0.05). But the control group the incidence of complications, length of hospital stay and hospital costs were signiifcantly lower than those of the patients in the experimental group, the differences between the two groups of data were statistically significant(P<0.05).Conclusion Compared to the catheter interventional therapy, surgical treatment of patent ductus arteriosus has the advantages of less complications and good effect, safety, worthy of further promotion in clinical treatment in the future.