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目的评价30例先天性心脏病的外科微创治疗临床效果,总结手术治疗方法和术中注意要点。方法对2010年9月至2013年5月外科微创治疗的30例先天性心脏病患者的临床资料进行回顾性分析。其中室间隔缺损21例,房间隔缺损9例,均采用微创治疗,14例采用全胸腔镜辅助下手术,16例采用经胸外科封堵治疗。结果全组无手术死亡病例。术后0.5个月、1个月、3个月、6个月、1年、2年和3年进行随访,复查心脏超声未见异常,心功能Ⅰ级,无残余分流。1例术后并发血色素尿,经治疗成功。结论外科微创治疗先天性心脏病创伤小,恢复快,美容效果好,安全可靠。
Objective To evaluate the clinical effect of surgical minimally invasive treatment of 30 patients with congenital heart disease and to summarize the surgical treatment methods and key points in the operation. Methods The clinical data of 30 patients with congenital heart disease underwent minimally invasive surgical treatment from September 2010 to May 2013 were analyzed retrospectively. Among them, 21 cases were ventricular septal defect and 9 cases were atrial septal defect. All patients underwent minimally invasive surgery, 14 cases underwent thoracoscopic assisted surgery and 16 cases underwent thoracic surgery. Results The whole group of patients without surgical death. The patients were followed up for 0.5 months, 1 month, 3 months, 6 months, 1 year, 2 years and 3 years after operation. No abnormality of cardiac ultrasound was observed. One case of hemochromatosis complicated by surgery, the successful treatment. Conclusion Surgical minimally invasive treatment of congenital heart disease trauma, rapid recovery, cosmetic effect, safe and reliable.