Clinical observations of right subaxillary small incision approach versus mid-sternal incision approach in the treatment of congenital heart disease
Objective To explore the clinical values of different surgical approaches in the treatment of congenital heart disease.Methods From January 2021 to December 2023,70 cases of congenital heart disease patients were collected from Luoyang Central Hospital.Based on different surgical methods,they were divided into a control group and an observation group,each with 35 cases.The control group underwent median sternotomy,while the observation group underwent a small incision in the right axilla.Clinical indicators(surgical time,extracorporeal circulation time,blood transfusion volume,thoracic drainage volume,aortic occlusion time,hospital stay),pain level,respiratory function,and incidence of complications were compared between the two groups.Results There were no significant between-group differences about the operation time,extracorporeal circulation time and aortic crossclamp time(P＞0.05);the transfusion volume and thoracic drainage volume in the observation group were smaller than control group;the hospital stays were shorter than control group,with statistically significant difference(P＜0.05);There was no statistically significant difference in respiratory function indicators between the two groups of children at different time periods(P＞0.05);at each time period,the pain scores in the observation group were lower than control group,with statistically significant difference(P＜0.05);the surgical complication risks between groups were not significantly different(P＞0.05).Conclusion Both of the surgical approaches are proven to be effective.However,the right subaxillary small incision approach produces less impact on the children's respiratory function,reduced the pain degrees,promotes the fast rehabilitation and increases the surgical safety for congenital heart disease children.It is worthy of clinical promotion.
congenital heart diseaseopen heart surgeryright subaxillary small incisionmid-sternal incision
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