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目的 介绍经“I”型部分胸骨切口行心内直视手术的体会。方法 取下1/2～2/3胸部正中皮肤切口,纵劈下2/3胸骨呈“I”型,体外循环直视下行心内直视手术15例,其中法乐四联症矫治7例,室间隔缺损修补5例,房间隔缺损修补3例。结果 本组病例无手术死亡及并发症。疤痕长度仅为胸骨正中切口的60％左右。结论 “I”型部分胸骨切口可安全有效地完成大部分心脏疾病的手术,创伤的程度及术后美容效果明显优于胸骨正中切口,手术适应症的范围明显大于右胸小切口。
Objective To introduce the experience of “I” type partial sternal incision in open heart surgery. Methods One-half to two-thirds of the median thoracic incisions were removed and 2/3 of the sternum were dissected under “I” type. 15 cases underwent open heart surgery with cardiopulmonary bypass, of which 7 cases were treated with tetralogy of Fallot , Ventricular septal defect repair in 5 cases, atrial septal defect repair in 3 cases. Results This group of patients without surgical death and complications. Scar length of only about 60% of the midline incision. Conclusion The “I” type partial sternal incision can safely and effectively complete the operation of most heart diseases. The degree of trauma and postoperative cosmetic results are obviously superior to the median incision of sternum. The range of surgical indications is obviously larger than that of right small incision.