Objective To observe the impact of different surgical approaches on the surgical efficacy and treatment safety of children with congenital heart disease.Methods 116 children with congenital heart disease were randomly divided into a sternum approach group and a right axillary approach group,with 58 cases in each group.The sternal approach group underwent sternal approach surgery,while the right axillary approach group underwent right axillary approach surgery.The treatment outcomes and incidence of surgical complications were compared between the two groups of patients.Results There was no statistically significant difference in the operation time,extracorporeal circulation time,and aortic occlusion time between the right axillary approach group and the sternal approach group(P>0.05).The intraoperative bleeding volume,thoracic drainage volume,assisted ventilation time,length of hospital stay,VAS score and VSS score at 30 minutes and 2 hours after surgery in the right axillary approach group were all lower than those in the sternum approach group(P<0.05).There was no statistically significant difference in RR,VA,A-aDO2,and MVV between the right axillary approach group and the sternal approach group(P>0.05).The incidence of complications in the right axillary approach group was lower than that in the sternum approach group(P<0.05).Conclusion The right axillary small incision approach is more effective and safer in surgical treatment.
关键词
先天性心脏病/右腋下小切口入路/胸骨正中入路/呼吸功能/手术并发症
Key words
congenital heart disease/right axillary small incision approach/sternotomy approach/respiratory function/surgical complications
维普
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