Objective:To compare the effect of thoracoscopic mitral valve replacement with traditional open-chest mitral valve replacement.Methods:97 patients with mitral valve disease admitted from April 2021 to February 2023 were selected and divided into thoracoscopic group(51 cases with single operating-hole thoracoscopic surgery)and thoracotomy group(46 cases with traditional thoracotomy surgery).The intraoperative trauma and postoperative recovery,perioperative levels of parathyroid hormone(PTH),cardial troponin T(cTnT)and complications were compared between the two groups.Results:The operative time,extracorporeal circulation time and aortic occlusion time in the endoscopic group were longer than those in the thoracotomy group,and the use of suspended red blood cells and plasma and the incision range were smaller than those in the thoracotomy group(P＜0.05).The time of ventilator use,intensive care unitc(ICU)stay time,drainage tube removal time and hospital stay in the endoscopic group were shorter than those in the thoracotomy group,and the drainage volume and postoperative VAS score on the 1st day were lower than those in the thoracotomy group(P＜0.05).There were no significant differences in postoperative cardiac structure and function between the two groups(P＞0.05).PTH and cTnT in the thoracoscopic group were higher than those in the thoracotomy group immediately after extracorporeal circulation shutdown,and there were no significant differences in the above indexes between the two groups 24 h and 48 h after surgery.The incidence of postoperative complications in thoracoscopic group(9.80％)was lower than that in thoracotomy group(28.26％).Conclusion:Thoracoscopic mitral valve replacement has the advantages of less trauma,faster recovery,fewer complications,accurate efficacy,high safety and practicability.
关键词
单操作孔/胸腔镜手术/开胸手术/二尖瓣置换术/围手术期
Key words
Single operating hole/Thoracoscopic surgery/Thoracotomy/Mitral valve replacement/Perioperative period
维普
万方数据