ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (3): 240-242.doi: 10.3969/j.issn.1674-3865.2017.03.018

• 临床研究 • 上一篇    下一篇

介入治疗与开胸手术治疗小儿室间隔缺损的临床疗效对比

刘剑，罗金文，王敬华，黄鹏   

  1. 410007 长沙，湖南省儿童医院心胸外科
  • 出版日期:2017-06-25 发布日期:2017-12-08
  • 通讯作者: 刘剑，E-mail：9364799@qq.com
  • 作者简介:刘剑（1980-），男，医学硕士，主治医师。研究方向：先天性心脏病的诊断与治疗

Clinical efficacy of interventional therapy and thoracotomy in the treatment of ventricular septal defect in children

LIU Jian，LUO Jinwen，WANG Jinghua，HUANG Peng   

  1. Thoracic Surgery of Children's Hospital of Hunan Province, Changsha 410007， China
  • Online:2017-06-25 Published:2017-12-08

PDF (PC)

184

摘要：
目的
对比介入治疗与开胸手术治疗小儿室间隔缺损临床疗效。
方法
2014年3月至2016年4月湖南省儿童医院心胸外科收治住院的小儿室间隔缺损患儿150例，依据治疗方案将接受介入治疗的50例患儿为观察组，接受开胸手术治疗的100例患儿为对照组。两组手术成功率、手术时间、术后住院时间、并发症发生率。
结果
两组手术成功率比较差异无统计学意义（P>0.05）；观察组手术时间与术后住院时间均显著小于对照组，差异有统计学意义（P<0.05）。对照组术后并发症发生率为14%（14/100），显著高于观察组2%（1/50），差异有统计学意义（P<0.05）。
结论
相对于开胸手术，介入治疗小儿室间隔缺损疗效理想且安全性高，可作为优选治疗方案推广使用。

关键词: 室间隔缺损, 介入治疗, 开胸手术, 儿童

Abstract:
Objective
To compare the clinical efficacy between interventional therapy and thoracotomy in the treatment of children with ventricular septal defect.
Methods
A total of 150 children with ventricular septal defect were hospitalized in our hospital from March 2014 to April 2016. Among them, 50 patients were treated with intervention（observation group） and 100 patients underwent thoracotomy（control group）. The clinical efficacy of the two groups were compared, including the success rate, length of hospital stay after operation, and incidence of complications.
Results
There was no significant difference in the success rate between the two groups(P>0.05). The difference of the operation time and postoperative hospitalization time were significantly shorter in the observation group and the difference was statistically significant(P<0.05). The rate of complications in the control group was 14%(14/100), which was significantly higher that of the observation group(2%,1/50), and the difference was statistically significant(P<0.05).
Conclusion
Compared with thoracotomy, interventional treatment for ventricular septal defect in children is effective and safe, and can be used as a preferred treatment regimen.

Key words: Ventricular septal defect, Interventional therapy, Ihoracotomy, Child