Comparison of the effect of small incision of the lower part and the medi an incision in the repair of congenital atrio-ventricu lar septal defect
MA Xni gxing
ZHANG Yihe
LIU Hu
REN Jina li
Abstract：Objective To explore the application effect of small incision and median incision in the repair of congeni -tal atrioventricular septal defect in children with congenital heart disease .Methods A total of 80 cases of congenital heart di-sease treated in the hospital from January 2014 to January 2016 were selected as the research objects , according to the way of operation , they were divided into 40 cases of small incision group and 40 cases of median incision group , 2 groups of children were treated with intravenous inhalation anesthesia , shallow hypothermia cardiopulmonary bypass , respectively , using small incision and median incision of the lower part of the median incision and the implementation of repair .The operation time , in-cision length, 24h induced flow rate, mechanical ventilation time, aortic clamping time, cardiopulmonary bypass time, reten-tion time of intensive care unit , and postoperative hospital stay of two groups were observed , postoperative complications and follow up was compared between the two groups .Results Small incision group's operation time, incision length, postoperative 24h drainage, postoperative mechanical ventilation time were significantly lower than that in the short /median incision group ( P <0.05), while the 2 group's clamping time, CPB time, ICU stay time, postoperative hospitalization time after ascending aorta's difference were not statistically significant ( P >0.05);2 groups were compared in pulmonary effusion , atelectasis, pleural effusion, pulmonary infection, atrioventricular block, the difference were not statistically significant (χ2 =0.866,χ2 =0.000,χ2 =1.802,χ2 =2.632,χ2 =2.632, P >0.05).After 3 months of follow-up, the degree of cardiac function was grade I, small incision group without sternal deformity , median incision group had sternal malformation in 4 cases, statistically significant differences between the 2 groups were found (χ2 =10.526, P =0.001).Conclusion Small sternum underwent small incision in children with simple congenital atrioventricular septal defect repair surgery is effective , safe, under certain conditions can replace the sternal median incision way .
Keywords：Infra-sternal small incisionsMedian sternotomyHeart diseasecongenitalMinimally invasive operation
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1211-1214 )