经腋下小切口结扎小儿动脉导管未闭术

• 作 者: 姚建民 成杞润 贾清仁 卢宁 赵向东 李文
• 机 构: 北京军区总医院心脏外科!北京市100700,北京军区总医院心脏外科!北京市100700,北京军区总医院心脏外科!北京市100700,北京军区总医院心脏外科!北京市100700,北京军区总医院心脏外科!
• 出 处: 临床外科杂志
• 发表日期: 1998年05期
• 关键词: 经腋下小切口 残余分流 微创技术 腋下切口 术野显露 导管直径 胸廓畸形 上肢功能 甲级愈合 手术时间

自1987年1月至1997年6月，经左腋下小切口行小儿动脉导管未闻结扎术37例，男14例，女23例，年龄2．0～13岁。管型27例，漏斗型10例。导管直径0．4～1．1cm，长度0．5～0．9cm。全组术野显露良好，手术顺利，手术时间86±18分，无大出血和手术死亡，无喉返神经损伤及残余分流。切口均甲级愈合，左上肢功能位时，看不到疤痕，术后住院时间8．1±1．4天。随访2个月～3年，无导管再通和胸廓畸形。认为左腋下小切口行小儿动脉导管未闻结扎术创伤小、简便、安全、美容效果好。

From January 1987 to June 1997, 37 cases of pediatric arterial catheterization were performed by left axillary minor incision. There were 14 males and 23 females, aged from 2.0 to 13 years old. 27 cases of tube type, 10 cases of funnel type. Catheter diameter 0.4 ~ 1.1cm, length 0.5 ~ 0.9cm. The group showed good surgical field, the operation was smooth, the operation time was 86 ± 18, no major bleeding and surgical death, no recurrent laryngeal nerve injury and residual shunt. Grade A incision healed, left upper limb function, can not see the scar, postoperative hospital stay 8.1 ± 1.4 days. Follow-up 2 months to 3 years, no recanalization and thoracic deformity. That the left underarm small incision pediatric artery catheter uninjured ligation trauma, simple, safe, good cosmetic effect.