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|本期目录/Table of Contents|

电视辅助胸腔镜和右胸小切口心脏手术及术后生活质量的比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2012年第2期
页码:
234-235,239
栏目:
临床研究
出版日期:
2012-04-25

文章信息/Info

Title:
Quality of life and outcome of video-assisted thorascopic heart surgery and mini-right thoracic incision heart surgery: A comparative study
作者:
王永功; 李明秋; 汲克强
(南京医科大学附属无锡人民医院，江苏 无锡 214023)
Author(s):
WANG Yong-gong;  LI Ming-qiu;  JI Ke-qiang
(Department of Cardiovascular Surgery, Wuxi People’s Hospital, Nanjing Medical University, Wuxi 214023, Jiangsu, China)
关键词:
胸腔镜; 微创外科; 心血管外科; 生活质量
Keywords:
thoracoscope;  mini-surgery;  cardiovascular surgery;  quality of life
分类号:
R654.2
DOI:
-
文献标识码:
A
摘要:
目的:比较电视辅助胸腔镜(VAT)和右胸小切口(MRTI)心脏手术的并发症及远期生活质量。方法： 从2009年1月~2009年12月，从住院患者中选取10例诊断为房间隔缺损、室间隔缺损和单纯二尖瓣病变的患者，随机分成2组：VAT组(n=5)和MRTI组(n=5)，比较术后近远期并发症及远期生活质量。结果： VAT组患者术后并发症及远期生活质量远优于MRTI组：VAT带气管插管时间［(3.8±0.8)h］显著小于MRTI组［(11.4±6.1)h,P<0.05］；VAT组ICU时间［(14±5)h］显著小于MRTI组［(22±4)h,P<0.05］；VAT组术后住院时间［(5.4±1.1)d］显著小于MRTI组［(8.6±1.1)d,P<0.01］；VAT组术后1年的生活质量SF-36评分(123±6)显著大于MRTI组(109±4，P<0.01)。结论： 对于适当选取的单纯房间隔缺损、室间隔缺损和单纯二尖瓣病变的患者VAT手术优于MRTI心脏手术。
Abstract:
AIM:To compare the complications and long-term quality of life of heart surgery by video-assisted thorascopy and mini-right thoracic incision. METHODS: From January 2009 to December 2009, ten patients diagnosed as having atrial septal defect or ventricular septal defect or simple mitral lesion were assigned by double-blind method to two groups: video-assisted thorascope (VAT) group (n=5) and mini-right thoracic incision (MRTI) group (n=5). Complications and long-term quality of life postoperatively were compared between groups. RESULTS: Complications in the VAT group were significantly less than those in the MRTI group. Quality of life of the VAT group was significantly better than that in the MRTI group. CONCLUSION: Video-assisted thorascopic heart operation is the most optimal approach for patients with atrial septal defect or ventricular septal defect or simple mitral lesion.

参考文献/References

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[2]柴守栋,马增山,马胜军,等.电视胸腔镜在先天性心脏病手术中的应用[J].中国微创外科杂志,2010,10(12):1091-1092.

[3]Fukui S,Paraskevas N,Soury P,et al.Totally videoendoscopic descending thoracic aorta-to-femoral artery bypass[J].J Vasc Surg,2010,51(6):1560-1563.

[4]程云阁,王跃军,张 泉,等.完全胸腔镜下体外循环心脏手术674例分析[J].中华外科杂志,2007,45(22):1521-1523.

[5]Cho JH,Kim J,Kim K,et al.A comparative analysis of video-assisted mediastinoscopy and conventional mediastinoscopy[J].Ann Thorac Surg,2011,92(3):1007-1011.

[6]刘盛华,陈海生,钟焕清,等.电视胸腔镜与右侧小切口的心脏手术比较[J].中华胸心血管外科,2008,24(6):409.

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备注/Memo

备注/Memo:
收稿日期: 2011-07-29.作者简介：王永功，副主任医师，博士生 Email:yonggong.wang@gmail.com
更新日期/Last Update: 2012-04-01